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William C Clark III, LPC

Individual provider Active NPI Professional Counselor · Hudson, OH

NPI 1548050487 · NPPES record last updated May 28, 2026

Key facts

NPI
1548050487
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C.2607997 (OH)
Practice address
5611 Hudson Dr Ste 400
Hudson, OH 44236-4452
Phone
(330) 915-2907
Fax
(330) 915-2958
NPI assigned
May 12, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C.2406036-TRNEOHMDCounselor
C.2607997OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Grove, LLC Counselor Past
since Apr 1, 2021		 Accepting new patients
Wellness Grove LLC Past
since Jul 21, 2024		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2607997 OH Yes
Counselor 101Y00000X C.2406036-TRNE OH

Addresses

Primary practice location

5611 Hudson Dr Ste 400
Hudson, OH 44236-4452

Mailing address

4522 Fulton Dr NW
Canton, OH 44718-2332
Phone (330) 915-2907

Other practice location 1

4522 Fulton Dr NW
Canton, OH 44718-2332
Phone (330) 915-2907

Other practice location 2

4200 Munson St NW Ste A
Canton, OH 44718-2981
Phone (330) 915-2907

Other providers in Hudson, OH

All providers in Hudson, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.