P Praxis·MD
● Active Type 1 · Individual

Jenise Trannell Clark, LPC

Counselor·Fayetteville, GA· NPI 1851880926 · Enumerated 2018 · 8 years on NPI
Clark is 1 of 16 counselor providers in Fayetteville and 1 of 1686 in Georgia.
NPI age
8 years
Enumerated 2018-05-04
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Practice location
715 Bradley Dr
Fayetteville, GA 302142030
📞 7703585252
Mailing address
3777 Waldrop Ln
Decatur, GA 300346786
📞 4042740929

Specialties

  • Counselor Primary
    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...
    taxonomy 101Y00000X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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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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