Individual provider Active NPI

Paige Elise Clark

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1821883406
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
96239 Issued in TX
Practice address
790 Generations Dr Ste 410
New Braunfels, TX 78130-6720
Phone
(210) 347-5304
NPI assigned
Apr 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 96239 TX Primary

Addresses

Primary practice location

790 Generations Dr Ste 410
New Braunfels, TX 78130-6720

Mailing address

13423 Blanco Rd
PMB 8032
San Antonio, TX 78216
Phone (210) 347-5304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260305000355 TX Practitioner - Mental Health Counselor 3173005402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darla Lane PLLCGroup PAC ID 8527023365, 8 clinicians

Practice addresses (Care Compare)

790 Generations Dr
Suite 410
New Braunfels, TX 78130-6720
Phone (830) 625-0599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96239TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Clark Counseling, PLLC Current Accepting new patients
Darla Lane PLLC CurrentSince Feb 26, 2026 Accepting new patients

Locations

790 Generations Dr
Ste 410
New Braunfels, TX 78130
Phone (830) 625-0599

13423 Blanco Rd
San Antonio, TX 78216

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.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1821883406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD",
            "address_2": "PMB 8032",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-347-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 410",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306720",
            "telephone_number": "210-347-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAIGE",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.