P Praxis·MD
● Active Type 1 · Individual

Kayla Clark, LPC

Counselor·Rome, GA· NPI 1730605320 · Enumerated 2017 · 8 years on NPI
Clark is 1 of 41 counselor providers in Rome and 1 of 5527 in Georgia.
NPI age
8 years
Enumerated 2017-08-16
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
8 years
↑ 3 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-08Enumerated in NPPES
2017 2026

Where they practice

Practice location
106 E 5th Ave
Rome, GA 301613128
📞 7065090130fax 7062376503
Mailing address
406 Leafmore Rd Sw Apt B
Rome, GA 301653856
📞 4047365112

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC012786 taxonomy 101YM0800X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    GA license #APC007128 taxonomy 101Y00000X

Identifiers

TypeValueNotes
01 (GA) LPC012786 LICENSURE

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Rome in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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