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D'ANDRE CLARK
NPI 1659233740
Counselor in Glendale, AZ

Active since November 26, 2025
17235 N 75TH AVE, GLENDALE, AZ 85308(480) 878-7115 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About D'andre Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D'ANDRE CLARK (NPI 1659233740) is an individual counselor in Glendale, Arizona and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1659233740
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameD'ANDRE CLARK
Location Address17235 N 75TH AVEGlendale, AZ 85308-0831
Mailing Address21244 N 262nd DrBuckeye, AZ 85396-7600 · (661) 303-0864 · Fax (661) 303-0864
Phone(480) 878-7115
Sole ProprietorYes
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1659233740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
17235 N 75TH AVE, Glendale, AZ 85308
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB SHAIN
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
DAISY SAENZ
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
DEIJUNA HULSEY
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
BRITHNIE ESTIME
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
KIMBERLY AVIS
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
SABRINA YARO
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
TATIANA SIMPSON
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169
BRIDGETT JOSEPH
Behavior Technician
17235 N 75TH AVE, SUITE G-120
GLENDALE, AZ 85308
Maricopa County (303) 989-8169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D'andre Clark's NPI number?

The NPI number for D'andre Clark is 1659233740. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is D'andre Clark located?

D'andre Clark practices at 17235 N 75th Ave, Glendale, AZ 85308. The listed phone number is (480) 878-7115.

What is D'andre Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for D'andre Clark was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.