Individual provider Active NPI

Barbara Joyce Clark, M.ED., LPCC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1700246329
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1100141 Issued in OH
Practice address
2238 S Hamilton Rd Ste 200
Columbus, OH 43232-4382
Phone
(614) 751-0042
Fax
(614) 751-0047
NPI assigned
Feb 24, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1100141 OH Primary

Addresses

Primary practice location

2238 S Hamilton Rd Ste 200
Columbus, OH 43232-4382

Mailing address

1777 Daisyfield Dr
Columbus, OH 43219-5549
Phone (614) 751-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240911000528 OH Practitioner - Mental Health Counselor 4880134345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Integrated Psychological ServicesGroup PAC ID 4880750512, 14 clinicians

Practice addresses (Care Compare)

2 Easton Oval
Suite 450
Columbus, OH 43219-6035
Phone (614) 475-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E1100141OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Integrated Psychological Services CurrentSince Jul 31, 2024 Accepting new patients

Locations

2 Easton Oval
Ste 450
Columbus, OH 43219
Phone (614) 475-9500

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1700246329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 DAISYFIELD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432195549",
            "telephone_number": "614-751-0042",
            "fax_number": "614-751-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 S HAMILTON RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324382",
            "telephone_number": "614-751-0042",
            "fax_number": "614-751-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BARBARA",
        "middle_name": "JOYCE",
        "name_prefix": "Miss",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1100141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.