{"npi":"1780165696","type":"NPI-1","status":"active","name":{"display":"Mr. Craig Clark Lmhc","other":[],"first":"CRAIG","last":"CLARK","middle":"STEVEN","credential":"LMHC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"IA","license":"124790"},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"MN","license":"1892"},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"IA","license":"124790"}]},"addresses":[{"purpose":"LOCATION","street_1":"2525 N. ANKENY BLVD","city":"ANKENY","state":"IA","postal_code":"500234708","country_code":"US","street_2":"SUITE 113","phone":"5152899136","fax":"5152899139"},{"purpose":"MAILING","street_1":"2525 N. ANKENY BLVD","city":"ANKENY","state":"IA","postal_code":"500234708","country_code":"US","street_2":"SUITE 113","phone":"5152899136","fax":"5152899139"}],"license":{"state":"IA","number":"124790"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0421348","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250220001415","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"IA","pac_id":"7810340585"}]},"enumeration_date":"2018-08-28","last_updated":"2025-12-17","_meta":{"source":"NPPES","snapshot_date":"2025-12-17","doc_url":"https://findmynpi.com/api"}}