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MR. KELVIN D CLARK MS, LMFT, LPC, LCAS
NPI 1033165923
Counselor - Addiction (Substance Use Disorder) in Fayetteville, NC

Active since May 25, 2006
1500 BRAGG BLVD, FAYETTEVILLE, NC 28301(910) 323-1065(910) 323-1144 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kelvin D Clark Ms, Lmft, Lpc, Lcas NPPES

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

MR. KELVIN D CLARK MS, LMFT, LPC, LCAS (NPI 1033165923) is an individual addiction (substance use disorder) provider in Fayetteville, North Carolina and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1033165923
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KELVIN D CLARKCredential: MS, LMFT, LPC, LCAS
Location Address1500 BRAGG BLVDFayetteville, NC 28301-4289
Mailing Address3805 Woodside DrSanford, NC 27332-8110 · (919) 776-0399 · Fax (910) 323-1144
Phone(910) 323-1065
Fax(910) 323-1144
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1033165923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X · License 448 (NC)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 448 (NC)
1500 BRAGG BLVD, Fayetteville, NC 28301
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Other Identifiers 4

Other14762257NC · United Healthcare
Other1002XNC · Blue Cross Provider
Medicaid6102267NC
Other11367606NC · Caqh

Other Providers at the Same Location NPPES 3

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

MISS CAROLYN MARAK CARPENTER MSW, LCSW
Social Worker (Clinical)
1500 BRAGG BLVD, STE 201
FAYETTEVILLE, NC 28301
Cumberland County (910) 323-1065
PATHWAYS TO EMPOWERMENT COUNSELING CENTER
Counselor (Professional)
1500 BRAGG BLVD
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-1500
MRS. MARY SIMMONS KINDER MA; PLPC; PLCAS; ABD
Counselor
1500 BRAGG BLVD
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-1500

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 Kelvin Clark's NPI number?

The NPI number for Kelvin Clark is 1033165923. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Kelvin Clark located?

Kelvin Clark practices at 1500 Bragg Blvd, Fayetteville, NC 28301. The listed phone number is (910) 323-1065.

What is Kelvin Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelvin Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.