Phoebe Samantha Clark, MA, LPC, ATR.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C5258 Issued in OR

Practice address

19855 4TH St Ste 106
Bend, OR 97703-7814

Phone

(541) 203-0970

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Art As Therapy & Trauma Solutions LLC

  • Professional Counselor
  • Bend, OR
  • NPI 1811574650
  NPD Authorized official
• Santa Fe Mountain Center Inc

  • Community/Behavioral Health Agency
  • Tesuque, NM
  • NPI 1861695769

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1881050490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19855 4TH ST STE 106",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037814",
            "telephone_number": "541-203-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 4TH ST STE 106",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037814",
            "telephone_number": "541-203-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PHOEBE",
        "middle_name": "SAMANTHA",
        "credential": "MA, LPC, ATR.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85338559",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn J Clark, MS, CADC II, LPC
• Katelyn Clark
• Katrina A Clark, CRM
• Lindsey Johnson Clark, PA-C
• Matthew Ryan Clark, M.D.
• Tyler Aspinwall Clark, M.D.
• Hannah Clarke
• Jeff Clason
• Jeff Bernard Clausen, CO
• Matthew P Clausen, MD

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.