Clark Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CLARK COUNSELING SERVICES LLC

Practice address

41 Mechanic St Ste 200
Windsor, CT 06095-2545

Phone

(860) 920-4420

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Matthew ClarkNPI 1417353996

Title

Ceo

Phone

(860) 920-4418

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Clark

  • Professional Counselor
  • Windsor, CT
  • NPI 1417353996
  Medicare reassignment Care Compare group NPD Authorized official
• David Ernst

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1710596747
  Medicare reassignment Care Compare group NPD
• Myunggyo Kim, LPCA

  • Professional Counselor
  • Windsor, CT
  • NPI 1497645600
  NPD
• Kayla R Hendrickson, LPC

  • Professional Counselor
  • New Britain, CT
  • NPI 1598131419

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1801332812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST STE 200",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952545",
            "telephone_number": "860-920-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST STE 200",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952545",
            "telephone_number": "860-920-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Oak St Unit 9",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024922409",
            "country_code": "US",
            "telephone_number": "860-920-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARK COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-920-4418"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801332812",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muzibul Chowdhury, M.D.
• Chris Penta, Psy.D., LLC
• Jeffrey Chu, D.M.D.
• Alexandra Chudz
• Nilah Cicero
• Benjamin Thomas Clark
• Danielle Clark
• Matthew Clark
• Jania Nichole Clay-Bey
• Cheryl Jean Clay

• Professional Counselor in Windsor, CT
• Providers in Windsor, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.