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ALICIA CLARK
NPI 1073289336
Counselor - Mental Health in Youngstown, OH

Active since August 17, 2021
860 BOARDMAN CANFIELD RD STE 203, YOUNGSTOWN, OH 44512(330) 779-1333 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Aug 17, 2021 (2 updates tracked since 2021).

About Alicia Clark NPPES

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

ALICIA CLARK (NPI 1073289336) is an individual mental health provider in Youngstown, Ohio and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1073289336
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICIA CLARK
Location Address860 BOARDMAN CANFIELD RD STE 203Youngstown, OH 44512-4235
Mailing Address7008 Fordson DrAkron, OH 44312-5294 · (480) 258-1754
Phone(330) 779-1333
Sole ProprietorYes
Enumeration DateAugust 17, 2021
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1073289336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
860 BOARDMAN CANFIELD RD STE 203, Youngstown, OH 44512
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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.

DR. KEARISTEN GAINES PSYD
Psychologist (Clinical)
860 BOARDMAN CANFIELD RD STE 203
YOUNGSTOWN, OH 44512
Mahoning County (330) 779-1333
OHIO THERAPY CENTER AND PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
860 BOARDMAN CANFIELD RD STE 203
YOUNGSTOWN, OH 44512
Mahoning County (330) 779-1333
MARYELLEN HECKLER PHD
Counselor (Mental Health)
860 BOARDMAN CANFIELD RD STE 203
YOUNGSTOWN, OH 44512
Mahoning County (330) 779-1333

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 Alicia Clark's NPI number?

The NPI number for Alicia Clark is 1073289336. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Alicia Clark located?

Alicia Clark practices at 860 Boardman Canfield Rd Ste 203, Youngstown, OH 44512. The listed phone number is (330) 779-1333.

What is Alicia 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 Alicia Clark was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.