Clark Pinson, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

06803 Issued in MD

Practice address

7100 Guilford Dr Ste 200
Frederick, MD 21704-5264

Phone

(301) 712-5751

NPI assigned

Jan 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Clark Pinson, PHD

  • Health Maintenance Organization
  • Syracuse, NY
  • NPI 1043618499
  NPD (past) Authorized official
• Blue Ridge Behavioral Health Services, LLC

  • Mental Health Counselor
  • Frederick, MD
  • NPI 1508862392
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1326405143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GUILFORD DR STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045264",
            "telephone_number": "301-712-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GUILFORD DR STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045264",
            "telephone_number": "301-712-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSON",
        "first_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "06803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Pinchot, LPC
• Laura Lea Pincock, PHARM.D.
• Heather Piner, PT
• John Pinetti
• Kyle Pinon
• Jessica Pina Pires Castelle, FNP-C
• Caroline Anne Pirtle
• Crystal Pitt, LCSW-C
• Barbara Pittaras, OD
• Mark Alexander Pitts, DDS

• Counseling Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Counseling Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.