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MS. ALETHA JENNIFER CLARK PHD, LPC
NPI 1912049594
Counselor - Professional in Snellville, GA

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
2386 CLOWER ST STE D-100, SNELLVILLE, GA 30078(404) 550-0564(678) 344-2956 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, Dec 18, 2018 (2 updates tracked since 2018).

About Ms. Aletha Jennifer Clark Phd, Lpc NPPES

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

MS. ALETHA JENNIFER CLARK PHD, LPC (NPI 1912049594) is an individual professional provider in Snellville, Georgia, licensed in Georgia (LPC004805) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1912049594
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ALETHA JENNIFER CLARKCredential: PHD, LPC
Location Address2386 CLOWER ST STE D-100Snellville, GA 30078-6134
Mailing AddressPo Box 955Snellville, GA 30078-0955 · (404) 550-0564 · Fax (678) 344-2956
Phone(404) 550-0564
Fax(678) 344-2956
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 12, 2007
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1912049594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC004805
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1658-R (GA)
2386 CLOWER ST STE D-100, Snellville, GA 30078
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Other Identifiers 1

Medicaid894502453AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Aletha Jennifer Clark Phd, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355864638
PECOS Enrollment IDI20250327001874
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

CLARK COUNSELING & CONSULTING, INC.
Counselor (Professional)
2386 CLOWER ST STE D-100
SNELLVILLE, GA 30078
Gwinnett County (404) 550-0564

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 Aletha Clark's NPI number?

The NPI number for Aletha Clark is 1912049594. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Aletha Clark located?

Aletha Clark practices at 2386 Clower St Ste D-100, Snellville, GA 30078. The listed phone number is (404) 550-0564.

What is Aletha Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Aletha Clark enrolled in Medicare?

Yes. Aletha Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Aletha Clark accept?

Health plans from Providence Health Plan list Aletha Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aletha Clark was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.