Robert Clark II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18810 Issued in FL

Practice address

1230 Oakley Seaver Dr Ste 206
Clermont, FL 34711-1950

Phone

(352) 234-8815

Fax

(877) 749-1902

NPI assigned

Feb 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Emotional Wellness Therapy LLC

  • Mental Health Counselor
  • Winter Haven, FL
  • NPI 1659043263
  NPD Authorized official
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  NPD
• Winter Haven Hospital Inc

  • Clinical Cardiac Electrophysiology Physician
  • Winter Haven, FL
  • NPI 1780150524
  NPD (past)

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1811293228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 OAKLEY SEAVER DR STE 206",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111950",
            "telephone_number": "352-234-8815",
            "fax_number": "877-749-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 OAKLEY SEAVER DR STE 206",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111950",
            "telephone_number": "352-234-8815",
            "fax_number": "877-749-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338305058",
            "country_code": "US",
            "telephone_number": "863-519-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROBERT",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrus Ridge Dental Center, PA
• Citrus Tower Pharmacy LLC
• City Healthcare, LLC
• Thomas Clancy
• Michael J Clark, PA
• Deborah Clarke-Carter
• Brenda Joy Clarke
• Emet Clarke
• Michelle Clarke
• Clearstone Group

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.