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ELIJAH ALEXANDER CLARK
NPI 1902582141
Peer Specialist in Louisa, KY

Active since June 23, 2023
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938(859) 813-5394 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elijah Alexander Clark NPPES

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

ELIJAH ALEXANDER CLARK (NPI 1902582141) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1902582141
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameELIJAH ALEXANDER CLARK
Location Address125 S MAIN CROSS STLouisa, KY 41230-1065
Mailing Address125 S Main Cross StLouisa, KY 41230-1065 · (606) 638-0938 · Fax (859) 813-5394
Phone(606) 638-0938
Fax(859) 813-5394
Sole ProprietorYes
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1902582141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
125 S MAIN CROSS ST, Louisa, KY 41230
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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.

LOIS MICHELLE HUBBARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
CHARLOTTE WILLIAMSON LPCA
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
JOHN W. RILEY CADC
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
RICHARD SKEENS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
SHERRY DIANNE BIBBS JOHNSON RN
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 639-0938
KEITH JONES
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
BOBBY LEE HILL PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
MELISSA MAYNARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938

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 Elijah Clark's NPI number?

The NPI number for Elijah Clark is 1902582141. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Elijah Clark located?

Elijah Clark practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Elijah Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Elijah Clark was last updated on June 23, 2023. 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.