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RICKY CLARK
NPI 1013728146
Counselor in Tupelo, MS

Active since January 17, 2025
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ricky Clark NPPES

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

RICKY CLARK (NPI 1013728146) is an individual counselor in Tupelo, Mississippi and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1013728146
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRICKY CLARK
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595
Phone(662) 640-4595
Sole ProprietorNo
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1013728146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2434 S EASON BLVD, Tupelo, MS 38804
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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.

TIFFANY BROWN
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
ALYSSA BRIDGES
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
CENTRELL GARDNER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
KAYLA HARRIS
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 810-4125
KEYAIRA STANDIFER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
MS. CAROLEE ELIZABETH SMITH MSSW
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 844-1717
JAN HARRIS
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
JOZIE GUNTER
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595

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 Ricky Clark's NPI number?

The NPI number for Ricky Clark is 1013728146. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Ricky Clark located?

Ricky Clark practices at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 640-4595.

What is Ricky Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ricky Clark was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.