CANDICE CLARK M.ED., LMHC
NPI 1033001631
Counselor - Mental Health in Opa Locka, FL
About Candice Clark M.ed., Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDICE CLARK M.ED., LMHC (NPI 1033001631) is an individual mental health provider in Opa Locka, Florida, licensed in Florida (MH25982) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Candice Clark M.ed., Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OPA LOCKA, FL 33054
OPA LOCKA, FL 33054
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 Candice Clark's NPI number?
The NPI number for Candice Clark is 1033001631. It was assigned to this individual provider in the NPPES registry on July 17, 2025.
Where is Candice Clark located?
Candice Clark practices at 15055 NW 27th Ave, Opa Locka, FL 33054. The listed phone number is (786) 466-2800.
What is Candice Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Candice Clark enrolled in Medicare?
Yes. Candice Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Candice Clark was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Candice Clark, M.ED., LMHC · NPI 1033001631
Mental Health provider in Opa Locka, Florida. Individual provider, active in the CMS NPPES registry since July 17, 2025.
## Identity
- **NPI:** 1033001631 (Entity type: Individual)
- **Enumerated:** July 17, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH25982 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 15055 NW 27TH AVE, Opa Locka, FL 33054-3365
- **Phone:** (786) 466-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** University Of Kentucky College Of Medicine, class of 2009
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033001631) · Data from the CMS NPPES public registry.