DR. DYNETTA CLARK LPC-S, LPC, LMHC
NPI 1003125261
Counselor - Professional in Austin, TX
About Dr. Dynetta Clark Lpc-s, Lpc, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DYNETTA CLARK LPC-S, LPC, LMHC (NPI 1003125261) is an individual professional provider in Austin, Texas, licensed in Texas (88846) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dynetta Clark Lpc-s, Lpc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78731
AUSTIN, TX 78731
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dynetta Clark's NPI number?
The NPI number for Dynetta Clark is 1003125261. It was assigned to this individual provider in the NPPES registry on October 5, 2010.
Where is Dynetta Clark located?
Dynetta Clark practices at 5900 Balcones Dr Ste 4000, Austin, TX 78731. The listed phone number is (512) 200-3926.
What is Dynetta Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Dynetta Clark enrolled in Medicare?
Yes. Dynetta Clark is registered in the Medicare PECOS enrollment system.
What insurance does Dynetta Clark accept?
Health plans from Blue Cross and Blue Shield of Texas list Dynetta Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dynetta Clark was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dynetta Clark, LPC-S, LPC, LMHC · NPI 1003125261
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since October 5, 2010.
## Identity
- **NPI:** 1003125261 (Entity type: Individual)
- **Enumerated:** October 5, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 88846 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5900 BALCONES DR STE 4000, Austin, TX 78731-4257
- **Phone:** (512) 200-3926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** January 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003125261) · Data from the CMS NPPES public registry.