Gail M Clark, LPCMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC-0000366 Issued in DE

Practice address

278 Wilmas Way
Dover, DE 19901-5538

Phone

(302) 604-3906

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Health IncGroup PAC ID 9234525098, 213 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.

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  DE

  Medicare reassignment Care Compare group NPD
• Gail

  • Community/Behavioral Health Agency
  • Dover, DE
  • NPI 1205372059
  NPD (past) Authorized official
• Psychiatric Wellness Center, Inc

  • Group Psychotherapy Psychologist
  • Dover, DE
  • NPI 1235266859
  NPD (past)
• Sunni Days Counseling, Inc

  • Mental Health Counselor
  • Milton, DE
  • NPI 1932459716
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1497895460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 WILMAS WAY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015538",
            "telephone_number": "302-604-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 WILMAS WAY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015538",
            "telephone_number": "302-604-3906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N High Street Extended",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199771183",
            "country_code": "US",
            "telephone_number": "833-886-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GAIL",
        "middle_name": "M",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000040998",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gclark2@coraswellness.org",
            "affiliation": "N",
            "address_1": "320 N High Street Extended",
            "city": "Smyrna",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199771183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen J Cindrich, M.D.
• Circle of Friends 1 LLC
• Jeffrey P Cirks, PA-C
• Clarity Counseling of Delaware, Inc.
• Lauren E Clark Stratton, ATR-BC, LPAT
• Lisa Ann Clark, LCSW
• Sherri L Clark, PMHNP-BC
• Tameka Nikeshia Clarke
• Aigner Clarkson
• Chelsea Classo

• Professional Counselor in Dover, DE
• Providers in Dover, DE by specialty
• Professional Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.