Rachel Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

113 S Eunice St
Port Angeles, WA 98362-3333

Phone

(360) 460-4071

NPI assigned

Dec 2, 2017

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Clark Counseling LLC

  • Professional Counselor
  • Port Angeles, WA
  • NPI 1831052588
  NPD Authorized official
• Carol J Oas MN Arnp Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Angeles, WA
  • NPI 1750597803
  NPD (past)
• Emily Landis Licsw PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Angeles, WA
  • NPI 1629589866
  NPD (past)

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512172800000",
    "number": "1932614708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W MISTY LN",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628119",
            "telephone_number": "360-460-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S EUNICE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623333",
            "telephone_number": "360-460-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin J Clark, D.C
• Elizabeth A. Clark, LSW
• Hilary Jade Clark
• Katherine Clark
• Lisa Ann Clark
• Tasha Clark, RN
• Denise Elizabeth Clarke, MSED DMD
• Bunny Claxton
• Clinicare of Port Angeles Inc
• Adam Cloutier

• Mental Health Counselor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.