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

Active since September 10, 2009PECOS Enrolled
11 W MONUMENT AVE STE 100, DAYTON, OH 45402(937) 679-6301(937) 630-4391 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2020, Nov 1, 2018 (2 updates tracked since 2018).

About Mrs. Darcie Rupert Clark Ms, Lpcc, Lcdciii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DARCIE RUPERT CLARK MS, LPCC, LCDCIII (NPI 1003149808) is an individual mental health provider in Dayton, Ohio, licensed in Ohio (EO8331) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003149808
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DARCIE RUPERT CLARKCredential: MS, LPCC, LCDCIII
Location Address11 W MONUMENT AVE STE 100Dayton, OH 45402-1293
Mailing Address11 W Monument Ave Ste 100Dayton, OH 45402-1293 · (937) 671-1589 · Fax (937) 435-5865
Fax(937) 630-4391
Sole ProprietorNo
Enumeration DateSeptember 10, 2009
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1003149808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · EO8331
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 991819 (OH), E08331-5 (OH)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License EO8331 (OH)
11 W MONUMENT AVE STE 100, Dayton, OH 45402

Secondary Practice Locations 2

Location 1537 Windsor Park DrCenterville, OH 45459 · Phone (937) 671-1589 · Fax (937) 435-5865
Location 26239 Wilmington PikeDayton, OH 45459-7108 · Phone (937) 319-4448 · Fax (937) 630-4391

Other Identifiers 1

Medicaid0184758OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Darcie Rupert Clark Ms, Lpcc, Lcdciii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Darcie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
11 W MONUMENT AVE STE 100
Dayton, OH 45402
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402
Counselor (Mental Health)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402
Counselor (Mental Health)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402
Counselor (Professional)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402
Counselor (Mental Health)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402
Counselor (Professional)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402
Counselor (Professional)
11 W MONUMENT AVE STE 100
DAYTON, OH 45402

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 Darcie Clark's NPI number?

The NPI number for Darcie Clark is 1003149808. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Darcie Clark located?

Darcie Clark practices at 11 W Monument Ave Ste 100, Dayton, OH 45402. The listed phone number is (937) 679-6301.

What is Darcie Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Darcie Clark enrolled in Medicare?

Yes. Darcie Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Darcie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darcie Clark reassigns Medicare benefits to Darcie R Clark Lpcc LLC (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darcie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darcie Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Darcie 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 Darcie Clark was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.