EVELYN C CLARK LPCC-S
NPI 1003267915
Counselor - Professional in Youngstown, OH
About Evelyn C Clark Lpcc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYN C CLARK LPCC-S (NPI 1003267915) is an individual professional provider in Youngstown, Ohio, licensed in Ohio (E.1200386-SUPV) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Evelyn C Clark Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Evelyn Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia, Delaware and Ohio enrollments
- 1,424 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Ohio enrollment
- 313 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evelyn Clark's NPI number?
The NPI number for Evelyn Clark is 1003267915. It was assigned to this individual provider in the NPPES registry on June 22, 2016.
Where is Evelyn Clark located?
Evelyn Clark practices at 527 N Meridian Rd, Youngstown, OH 44509. The listed phone number is (330) 797-0070.
What is Evelyn Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Evelyn Clark enrolled in Medicare?
Yes. Evelyn Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Evelyn Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Clark reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Sondermind Provider Network LLC (Denver, CO). Each 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 Evelyn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evelyn Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health and 3 other insurers list Evelyn 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 Evelyn Clark was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Evelyn C Clark, LPCC-S · NPI 1003267915
Professional provider in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since June 22, 2016.
## Identity
- **NPI:** 1003267915 (Entity type: Individual)
- **Enumerated:** June 22, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** E.1200386-SUPV (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 527 N MERIDIAN RD, Youngstown, OH 44509-1227
- **Phone:** (330) 797-0070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003267915) · Data from the CMS NPPES public registry.