GREGORY CLARK
NPI 1811795313
Counselor - Mental Health in Fairfax, VA

Q: What is Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1811795313. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Q: What is Gregory Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Clark was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 03, 2025

3950 CHAIN BRIDGE RD, FAIRFAX, VA 22030(703) 665-9435 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gregory Clark NPPES

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

GREGORY CLARK (NPI 1811795313) is an individual mental health provider in Fairfax, Virginia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1811795313

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameGREGORY CLARK

Location Address3950 CHAIN BRIDGE RDFairfax, VA 22030-3935

Mailing Address100 James Dr SeVienna, VA 22180-6710 · (571) 888-1895

Phone(703) 665-9435

Sole ProprietorYes

Enumeration DateMarch 3, 2025

NPPES CertifiedMarch 3, 2025

✔ NPI 1811795313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3950 CHAIN BRIDGE RD, Fairfax, VA 22030

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Other Providers at the Same Location NPPES 4

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

J ALEXANDRA HERRERA MA ATR-BC, LPC

Counselor (Professional)

3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030

Fairfax City (571) 234-9184

LISA MCCARTHY

Counselor (Professional)

3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030

Fairfax City (571) 234-9184

JENNIFER BALDWIN MA, ATR-BC, LCPAT

Art Therapist

3950 CHAIN BRIDGE RD, SUITE 10
FAIRFAX, VA 22030

Fairfax City (571) 295-4583

KURT CLAUSEN

Counselor (Mental Health)

3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030

Fairfax City (571) 234-9184

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 Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1811795313. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Gregory Clark located?

Gregory Clark practices at 3950 Chain Bridge Rd, Fairfax, VA 22030. The listed phone number is (703) 665-9435.

What is Gregory Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gregory Clark was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.