{"npi":"1750442596","type":"NPI-1","status":"active","name":{"display":"Maria Clark Lpc, Lisac","other":[{"code":"2","type":"Professional name","value":"CLARK, MARIA G"}],"first":"MARIA","last":"CLARK","middle":"G","credential":"LPC, LISAC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"AZ","license":"LISAC-10628"},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"AZ","license":"LPC-13317"}]},"addresses":[{"purpose":"LOCATION","street_1":"3260 N HAYDEN RD","city":"SCOTTSDALE","state":"AZ","postal_code":"852516649","country_code":"US","street_2":"SUITE 112","phone":"4808040326","fax":"4808040083"},{"purpose":"MAILING","street_1":"1400 E SOUTHERN AVE","city":"TEMPE","state":"AZ","postal_code":"852825691","country_code":"US","street_2":"STE. 735","phone":"4808040326","fax":"4803027884"}],"license":{"state":"AZ","number":"LPC-13317"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"559377","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240110004893","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"AZ","pac_id":"2264883511"}]},"enumeration_date":"2006-12-13","last_updated":"2015-10-13","_meta":{"source":"NPPES","snapshot_date":"2015-10-13","doc_url":"https://findmynpi.com/api"}}