NPIMap

Individual provider Active NPI

Anna S Clark, MS

  • Professional Counselor
  • Old Town, ME
National Provider Identifier
1902402290
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC7638 Issued in ME
Practice address
203 Stillwater Ave
Old Town, ME 04468-1665
Phone
(207) 404-8000
NPI assigned
Dec 10, 2020
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 6601 TN
Professional Counselor 101YP2500X CC7638 ME Primary

Addresses

Primary practice location

203 Stillwater Ave
Old Town, ME 04468-1665

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8100

Other practice location 1

273 Big Station Camp Blvd Apt 20103
Gallatin, TN 37066-8665
Phone (615) 266-3899

Other names 1

  • Ms. Anna Skye Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250619001910 ME Practitioner - Mental Health Counselor 1355852922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Community Health CenterGroup PAC ID 0143212670, 135 clinicians

Practice addresses (Care Compare)

242 Brunswick St
Old Town, ME 04468-1613
Phone (207) 827-6128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC7638MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Community Health Center CurrentSince Jul 13, 2025 Accepting new patients
Penobscot Community Health Center CurrentSince Jul 13, 2025 Accepting new patients
Penobscot Community Health Center Past Accepting new patients
Penobscot Community Health Center Past Accepting new patients
Penobscot Community Health Center Past Accepting new patients
Penobscot Community Health Center Past Accepting new patients
Penobscot Community Health Center Past Accepting new patients
Penobscot Community Health Center Past Accepting new patients

Locations

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

242 Brunswick St
Old Town, ME 04468
Phone (207) 827-6128

Organizations & group practices 8

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1902402290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681665",
            "telephone_number": "207-404-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Big Station Camp Blvd Apt 20103",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370668665",
            "country_code": "US",
            "telephone_number": "615-266-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANNA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6601",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "ROBINSON",
            "middle_name": "SKYE",
            "prefix": "MS.",
            "credential": "LPC-MHSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Town, ME

Sources for this page

Verify at the official NPI Registry.