William Clark
Individual provider Active NPI Counselor · Pascagoula, MS
NPI 1508727231 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1508727231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4211 Hospital St
Pascagoula, MS 39581-5320 - Phone
- (228) 217-9625
- NPI assigned
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MS | Yes |
Addresses
Primary practice location
4211 Hospital St
Pascagoula, MS 39581-5320
Mailing address
916 Lime St
Ocean Springs, MS 39564-9187
Phone (228) 217-9625
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.