P Praxis·MD
● Active Type 1 · Individual

MR. Robert Bicknell Clark III, CADC-1

Counselor·Atlanta, GA· NPI 1891368056 · Enumerated 2021 · 4 years on NPI
Clark is 1 of 51 counselor providers in Atlanta and 1 of 786 in Georgia.
NPI age
4 years
Enumerated 2021-07-23
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 786 active counselor providers in Georgia.

NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
4200 Northside Pkwy Nw Bldg 7
Atlanta, GA 303273007
📞 4047936349
Mailing address
4200 Northside Pkwy Nw Bldg 7
Atlanta, GA 303273007
📞 4047936349

Specialties

  • Counselor Primary
    Definition to come...
    GA license #0689 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new counselor providers have been added in Atlanta 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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