ETHAN CLARK
NPI 1821929324
Counselor - Mental Health in Reno, NV

Active since May 26, 2026
3724 LAKESIDE DR STE 200, RENO, NV 89509(775) 895-0712 Get Directions Write a Review

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

About Ethan Clark NPPES

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

ETHAN CLARK (NPI 1821929324) is an individual mental health provider in Reno, Nevada and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1821929324
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN CLARK
Location Address3724 LAKESIDE DR STE 200Reno, NV 89509-5293
Mailing Address1052 Watt St Apt CReno, NV 89509-2869
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1821929324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3724 LAKESIDE DR STE 200, Reno, NV 89509

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.

Social Worker
3724 LAKESIDE DR STE 200
RENO, NV 89509
Social Worker (Clinical)
3724 LAKESIDE DR STE 200
RENO, NV 89509
Social Worker (Clinical)
3724 LAKESIDE DR STE 200
RENO, NV 89509
Social Worker (Clinical)
3724 LAKESIDE DR STE 200
RENO, NV 89509

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 Ethan Clark's NPI number?

The NPI number for Ethan Clark is 1821929324. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Ethan Clark located?

Ethan Clark practices at 3724 Lakeside Dr Ste 200, Reno, NV 89509. The listed phone number is (775) 895-0712.

What is Ethan 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 Ethan Clark was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.