BENJAMIN CLARK LPC
NPI 1053083436
Counselor - Mental Health in Collinsville, IL

Active since October 04, 2021
2014 VANDALIA ST, COLLINSVILLE, IL 62234(618) 345-9536 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Clark Lpc NPPES

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

BENJAMIN CLARK LPC (NPI 1053083436) is an individual mental health provider in Collinsville, Illinois and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1053083436
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN CLARKCredential: LPC
Location Address2014 VANDALIA STCollinsville, IL 62234-4848
Mailing Address2014 Vandalia StCollinsville, IL 62234-4848 · (618) 345-9536
Sole ProprietorNo
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
NPI 1053083436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2014 VANDALIA ST, Collinsville, IL 62234

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.

Counselor (Professional)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker (Clinical)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker (Clinical)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234

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 Benjamin Clark's NPI number?

The NPI number for Benjamin Clark is 1053083436. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Benjamin Clark located?

Benjamin Clark practices at 2014 Vandalia St, Collinsville, IL 62234. The listed phone number is (618) 345-9536.

What is Benjamin Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Benjamin Clark was last updated on October 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.