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MARY CLARK LMHC
NPI 1023726767
Counselor - Mental Health in Jamaica Plain, MA

Active since November 11, 2022PECOS Enrolled
157 GREEN ST, JAMAICA PLAIN, MA 02130(617) 209-9567 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2025, Nov 11, 2022 (2 updates tracked since 2022).

About Mary Clark Lmhc NPPES

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

MARY CLARK LMHC (NPI 1023726767) is an individual mental health provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (LMHC10002305) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023726767
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY CLARKCredential: LMHC
Location Address157 GREEN STJamaica Plain, MA 02130-2667
Mailing Address6 Liberty Sq, Pmb 91874Boston, MA 02109-5800 · (617) 209-9567
Phone(617) 209-9567
Sole ProprietorYes
Enumeration DateNovember 11, 2022
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1023726767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · LMHC10002305
157 GREEN ST, Jamaica Plain, MA 02130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Clark Lmhc 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.

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.

DR. LESLIE ANN OSTROW M.A., PH.D.
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5859
CASSIDY BINGHAM
Art Therapist
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-1120
DAVID REYES I
Counselor (Addiction (Substance Use Disorder))
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1445
MS. MARY M DOHERTY
Counselor
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5800
MRS. CAROL A. WAYNE LMHC, LMFT
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5828
SHAUNA MARY BOOTHBY
Peer Specialist
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 460-7248
KRISTEN BEAUDOUIN LICSW
Social Worker (Clinical)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1259
MS. WANNY PIMENTEL
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-1120

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1023726767. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Mary Clark located?

Mary Clark practices at 157 Green St, Jamaica Plain, MA 02130. The listed phone number is (617) 209-9567.

What is Mary Clark's specialty?

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

Is Mary Clark enrolled in Medicare?

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

What insurance does Mary Clark accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mary 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 Mary Clark was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.