MRS. DARCIE RUPERT CLARK MS, LPCC, LCDCIII
NPI 1003149808
Counselor - Mental Health in Dayton, OH

NPI Status: Active since September 10, 2009

Contact Information

11 W MONUMENT AVE STE 100
DAYTON, OH
ZIP 45402
Phone: (937) 679-6301
Fax: (937) 630-4391

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 28
Counselor
Mental Health
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About DARCIE CLARK

This page provides the complete NPI Profile along with additional information for Darcie Clark, a provider established in Dayton, Ohio with a medical specialization in Counselor, focusing in mental health and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1003149808 assigned on September 2009. The practitioner's primary taxonomy code is 101YM0800X with license number EO8331 (OH). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1003149808
Provider Name: MRS. DARCIE RUPERT CLARK MS, LPCC, LCDCIII
Gender: Female
Entity Type: Individual
Location Address: 11 W MONUMENT AVE STE 100 DAYTON, OH 45402
Location Phone: (937) 679-6301
Location Fax: (937) 630-4391
Mailing Address: 11 W MONUMENT AVE STE 100 DAYTON, OH 45402
Mailing Phone: (937) 671-1589
Mailing Fax: (937) 630-4391
Medical School Name: OTHER
Graduation Year: 1998
Is Sole Proprietor?: No
Enumeration Date: 09-10-2009
Last Update Date: 12-28-2020
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A mental health counselor like Darcie Clark provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

537 Windsor Park Dr
Centerville, OH 45459
(937) 671-1589
6239 Wilmington Pike
Dayton, OH 45459
(937) 319-4448

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor Mental Health
Taxonomy Code: 101YM0800X
Type: Behavioral Health & Social Service Providers
License No.: EO8331
License State: OH

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)	991819 (OH)
2	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)	E08331-5 (OH)
3	101YP2500X	Behavioral Health & Social Service Providers	Counselor Professional	EO8331 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Buckeye Health Plan

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter from Meridian

Clear Silver - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway 8500 for HSA - HMO
Anthem Catastrophic Essential (+ Incentives) - HMO
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

CareSource

Bronze 7500 $25 Generic Drugs - HMO
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
Core Gold 1500 $10 Generic Drugs - HMO
Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
Gold 2000 $15 Generic Drugs - HMO
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
HSA Eligible Bronze 6000 - HMO
Low Premium Bronze 10600 $25 Generic Drugs - HMO
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
Low Premium Silver 6200 $3 Generic Drugs - HMO
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO

MedMutual

Bronze $8,300 w/ Adult Dental ON-EX - HMO
Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
Bronze HSA $7,300 ON-EX - HMO
Bronze Standard w/ Virtual & Wellness - HMO
Gold $1,000 w/ Adult Dental ON-EX - HMO
Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
Gold $500 w/ Virtual & Wellness ON-EX - HMO
Gold Standard w/ Virtual & Wellness - HMO
Silver $5,000 w/ Adult Dental ON-EX - HMO
Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
Silver Standard w/ Virtual & Wellness - HMO

Molina Healthcare

Molina Bronze Enhanced 3500 - HMO
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
Molina Bronze Saver 7000 - HMO
Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
Molina Bronze Saver 7000 Plus with Adult Vision - HMO
Molina Bronze Smart Heart Health - HMO
Molina Bronze Standard - HMO
Molina Gold Core 1640 - HMO
Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Molina Gold Core 1640 Plus with Adult Vision - HMO
Molina Gold Enhanced 895 - HMO
Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
Molina Gold Enhanced 895 Plus with Adult Vision - HMO
Molina Gold Smart Heart Health - HMO
Molina Gold Standard - HMO
Molina Silver Core - HMO
Molina Silver Core Plus with Adult Dental and Vision - HMO
Molina Silver Core Plus with Adult Vision - HMO
Molina Silver Saver with Four Free PCP Visits - HMO

Oscar Health Insurance

Bronze Classic 4700 - HMO
Bronze Classic Standard - HMO
Bronze Elite + PCP Saver Plus - HMO
Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
Bronze Simple Chronic Care CKM - HMO
Bronze Simple Diabetes - HMO
Gold Classic - HMO
Gold Classic Standard - HMO
Gold Elite Saver Plus - HMO
Silver Classic Standard - HMO
Silver Elite Saver Plus - HMO
Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
Silver Simple Chronic Care CKM - HMO
Silver Simple Diabetes - HMO
Silver Simple PCP Saver - HMO
Silver Simple Women's Health with Menopause Benefits - HMO

Oscar Insurance Corporation of Ohio

Bronze Classic PCP Saver | Cleveland Clinic - HMO
Bronze Classic Standard | Cleveland Clinic - HMO
Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
Bronze Simple Diabetes | Cleveland Clinic - HMO
Bronze Simple HSA | Cleveland Clinic - HMO
Gold Classic Standard | Cleveland Clinic - HMO
Gold Elite | Cleveland Clinic - HMO
Gold Elite Saver Plus | Cleveland Clinic - HMO
Silver Classic Standard | Cleveland Clinic - HMO
Silver Elite Saver Plus | Cleveland Clinic - HMO
Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
Silver Simple Chronic Care CKM | Cleveland Clinic - HMO
Silver Simple Diabetes | Cleveland Clinic - HMO
Silver Simple PCP Saver | Cleveland Clinic - HMO
Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
0184758	MEDICAID (05)	OH

Medicare Participation & PECOS Enrollment Status

Darcie Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Darcie Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 9830563220
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20230327001511, I20240212001472
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003149808, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 4 + 1 + 8 + 8 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1003149808.