KAITLYN MARY CLARK LPC
NPI 1457725095
Counselor - Professional in Tucker, GA
NPI Status: Active since November 19, 2015
Contact Information
3760 LAVISTA RD STE 102
TUCKER, GA
ZIP 30084
Phone: (770) 375-8124
Fax: (770) 559-5543
- Individual
- Female
- Counselor
- Professional
About KAITLYN CLARK
This page provides the complete NPI Profile along with additional information for Kaitlyn Clark, a provider established in Tucker, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1457725095 assigned on November 2015. The practitioner's primary taxonomy code is 101YP2500X with license number LPC012288 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1457725095
- Provider Name
- KAITLYN MARY CLARK LPC
- Other Name
- KAITLYN MARY BARTFAY LPC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3760 LAVISTA RD STE 102 TUCKER, GA 30084
- Location Phone
- (770) 375-8124
- Location Fax
- (770) 559-5543
- Mailing Address
- 3760 LAVISTA RD STE 102 TUCKER, GA 30084
- Mailing Phone
- (770) 375-8124
- Mailing Fax
- (770) 559-5543
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-19-2015
- Last Update Date
- 09-06-2022
- Code Navigator
Location Map
Secondary Locations
- 1370 Center Dr Ste 205
Atlanta, GA 30338
(770) 375-8124
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC012288
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 7 | 2 | 5 | 0 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 14 | 2 | 10 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1457725095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992938179 | DRELIN C WILLIAMS SLP Individual | Speech-Language Pathologist | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (404) 248-0415 |
| 1306380506 | ELIZABETH L SMITH RBT Individual | Behavior Technician | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (843) 615-5545 |
| 1932616463 | MRS. KRISTIN GAIL SIMMON-LOWMAN LCSW Individual | Social Worker (Clinical) | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (678) 626-0557 |
| 1992213201 | LORNESHIA MOORE BCBA Individual | Behavior Analyst | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (678) 626-0557 |
| 1821584749 | MRS. ZAKIRA IREE GOLDEN BCABA Individual | Behavior Analyst | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (678) 626-0557 |
| 1871192815 | LATANYA PARSLEY BCBA Individual | Behavior Analyst | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (678) 626-0557 |
| 1881043420 | CORE THERAPY SERVICES, LLC Organization | Behavior Analyst | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (678) 626-0557 |
| 1649854803 | MR. DERRICK JONES PREJEAN RBT Individual | Behavior Technician | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (678) 626-0557 |
| 1225878507 | CAMERON GRACE HOM Individual | Psychologist | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (770) 375-8124 |
| 1356419790 | LARONTA UPSON RUSH PH.D. Individual | Psychologist (Clinical Child & Adolescent) | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (770) 375-8124 |
| 1255743670 | HEALTHY MINDS PSYCHOLOGY ASSOCIATES INC Organization | Psychologist | 3760 LAVISTA RD STE 102 TUCKER, GA 30084 (770) 375-8124 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457725095, enumerated in the NPI registry as an "individual" on November 19, 2015
The provider is located at 3760 Lavista Rd Ste 102 Tucker, Ga 30084 and the phone number is (770) 375-8124
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
This NPI record was last updated on November 19, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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