Caleb S Clark, LPCC – Counselor in Tiffin, OH

Key facts

1717 Moore St Apt
Suite 4
Fremont, OH 43420-1675

1925 Hayes Ave
Sandusky, OH 44870-4737

76 Ashwood Dr
Tiffin, OH 44883-1908

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

License	State	Type	Specialty
C.2406123	OH	MD	Professional Counselor

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	C.2406123	OH
Counselor	101Y00000X	E.2607304	OH	Yes

76 Ashwood Dr
Tiffin, OH 44883-1908

1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.