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MARYBETH CLARK BS
NPI 1053295675
Counselor - Addiction (Substance Use Disorder) in Metropolis, IL

Active since August 05, 2025
206 W 5TH ST, METROPOLIS, IL 62960(618) 524-9368(618) 524-9368 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marybeth Clark Bs NPPES

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

MARYBETH CLARK BS (NPI 1053295675) is an individual addiction (substance use disorder) provider in Metropolis, Illinois, licensed in Kentucky (275760) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1053295675
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARYBETH CLARKCredential: BS
Location Address206 W 5TH STMetropolis, IL 62960-1810
Mailing Address206 W 5th StMetropolis, IL 62960-1810 · (618) 524-9368 · Fax (618) 524-9368
Phone(618) 524-9368
Fax(618) 524-9368
Sole ProprietorYes
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1053295675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 275760
206 W 5TH ST, Metropolis, IL 62960
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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.

MS. TONI L MILLER MS LCPC
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
DYLAN WADE STREET
Student in an Organized Health Care Education/Training Program
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
JENNEA HARRIS
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
OAKLEY AUTUMN WARREN
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
ASHLEY POWERS MS
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (800) 851-1251
MICHAEL PROYR
Counselor (Mental Health)
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (270) 556-3966
AMY KRUEGER BS
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
ZEBULUN NEW
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368

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 Marybeth Clark's NPI number?

The NPI number for Marybeth Clark is 1053295675. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Marybeth Clark located?

Marybeth Clark practices at 206 W 5th St, Metropolis, IL 62960. The listed phone number is (618) 524-9368.

What is Marybeth 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 Marybeth Clark was last updated on August 5, 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.