Brittany Kristin Clark, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009119 Issued in NY

Practice address

511 18TH St
West Babylon, NY 11704-2205

Phone

(631) 758-0474

Fax

(631) 758-0467

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment Care Compare group NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• Concern for Independent Living, Inc.

  • Community/Behavioral Health Agency
  • Medford, NY
  • NPI 1427198209
  NPD (past)
• Outreach Development Corperation

  • Nursing Care Agency
  • Brentwood, NY
  • NPI 1922639178
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1255040069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 18TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042205",
            "telephone_number": "631-758-0474",
            "fax_number": "631-758-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 18TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042205",
            "telephone_number": "631-758-0474",
            "fax_number": "631-758-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Expressway Dr S",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632555",
            "country_code": "US",
            "telephone_number": "631-758-0474 x2212",
            "fax_number": "631-758-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Crooked Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117171039",
            "country_code": "US",
            "telephone_number": "631-231-3232",
            "fax_number": "631-231-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITTANY",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC LICENSE",
            "identifier": "009119",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittanyclark@concernhousing.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "312 Expressway Dr S",
            "city": "Medford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117632555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammie Marie Christian
• Kara Michelle Cianciotti, PA
• Alexandra Anne Cimieri, LMT
• Arcangelo M Ciminiello, D.D.S.
• Sally Jane B. Ciron, MD
• Daniel Patrick Clarke, L.M.S.W.
• Jessica Clinton-Stronconi
• Janine Clougherty, RN
• Theresa Antoinette Coalter, OTR/L
• Nataly Coburn, R.N

• Mental Health Counselor in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.