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MICHELE R CLARK LMFT
NPI 1699499400
Marriage & Family Therapist in Alpharetta, GA

Active since September 27, 2022Opted out of Medicare · through Jan 26, 2028
10200 TWINGATE DR, ALPHARETTA, GA 30022(404) 406-2844 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michele R Clark Lmft NPPES

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

MICHELE R CLARK LMFT (NPI 1699499400) is an individual marriage & family therapist in Alpharetta, Georgia, licensed in Georgia (MFT001977) and active in the NPI registry since September 2022. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1699499400
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMICHELE R CLARKCredential: LMFT
Location Address10200 TWINGATE DRAlpharetta, GA 30022-6312
Mailing Address10200 Twingate DrAlpharetta, GA 30022-6312 · (404) 406-2844
Phone(404) 406-2844
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
✔ NPI 1699499400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · MFT001977
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10200 TWINGATE DR, Alpharetta, GA 30022
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michele R Clark Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2026 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2026
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Michele Clark's NPI number?

The NPI number for Michele Clark is 1699499400. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Michele Clark located?

Michele Clark practices at 10200 Twingate Dr, Alpharetta, GA 30022. The listed phone number is (404) 406-2844.

What is Michele Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Michele Clark enrolled in Medicare?

No. Michele Clark has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michele Clark was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.