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MRS. GINA CLARK LPC
NPI 1023151784
Counselor - Professional in Stillwater, OK

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
800 E 6TH AVE STE B, STILLWATER, OK 74074(405) 372-1250 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Gina Clark Lpc NPPES

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

MRS. GINA CLARK LPC (NPI 1023151784) is an individual professional provider in Stillwater, Oklahoma, licensed in Oklahoma (3797) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1023151784
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. GINA CLARKCredential: LPC
Location Address800 E 6TH AVE STE BStillwater, OK 74074-3732
Mailing Address1321 N Jardot RdStillwater, OK 74075-8531 · (405) 372-3010
Phone(405) 372-1250
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 14, 2007
Last NPPES UpdateApril 27, 2015
✔ NPI 1023151784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 3797
800 E 6TH AVE STE B, Stillwater, OK 74074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Mrs. Gina Clark Lpc 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.

PECOS PAC ID4880038462
PECOS Enrollment IDI20240222001906
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 Gina Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iowa Tribe Of Oklahoma
9.1 mi
Clinic/Center
509 E HIGHWAY 33
Perkins, OK 74059
  • Reassigned Medicare billing, Oklahoma enrollment
  • 13 clinicians in this Medicare group
NPI 1891943106 (405) 547-2473

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 12

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

KELLI MICHELLE FOLEY
Case Manager/Care Coordinator
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-1250
MARIBETH OUTHIER
Social Worker
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-1250
DEBBIE DENEICE BLAN RN
Registered Nurse
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-2342
REGGIE O'RAY THOMAS
Case Manager/Care Coordinator
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-1250
SHERRY L. MAHI
Case Manager/Care Coordinator
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-1250
DAISY LILI TARR
Clinic/Center (Mental Health (Including Community Mental Health Center))
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-2342
BRITTNI DAWN GACHES
Case Manager/Care Coordinator
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-1250
RACHEL DAWN TURNER
Case Manager/Care Coordinator
800 E 6TH AVE STE B
STILLWATER, OK 74074
Payne County (405) 372-1250

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 Gina Clark's NPI number?

The NPI number for Gina Clark is 1023151784. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Gina Clark located?

Gina Clark practices at 800 E 6th Ave Ste B, Stillwater, OK 74074. The listed phone number is (405) 372-1250.

What is Gina Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gina Clark enrolled in Medicare?

Yes. Gina 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 organization bills Medicare for Gina Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Clark reassigns Medicare benefits to Iowa Tribe Of Oklahoma (Perkins, OK). 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 Gina Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Clark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Gina 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 Gina Clark was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.