MS. LINDA M CLARK MA, LPPC-S
NPI 1083960827
Counselor - Mental Health in Canton, OH

Q: What is Linda Clark's NPI number?

The NPI number for Linda Clark is 1083960827. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Q: What is Linda Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Linda Clark was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 30, 2012PECOS Enrolled

4510 DRESSLER RD NW, CANTON, OH 44718(216) 450-1613(216) 450-1614 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Oct 25, 2023, Aug 19, 2022 (3 updates tracked since 2022).

On this page

About Ms. Linda M Clark Ma, Lppc-s NPPES

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

MS. LINDA M CLARK MA, LPPC-S (NPI 1083960827) is an individual mental health provider in Canton, Ohio, licensed in Ohio (E.1100179-SUPV) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083960827

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. LINDA M CLARKCredential: MA, LPPC-S

Location Address4510 DRESSLER RD NWCanton, OH 44718-2546

Mailing AddressPo Box 844020Dallas, TX 75284-4020 · (216) 450-1613

Phone(216) 450-1613

Fax(216) 450-1614

Sole ProprietorYes

Enumeration DateJuly 30, 2012

Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2024

✔ NPI 1083960827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.1100179-SUPV

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.1100179 (OH)

4510 DRESSLER RD NW, Canton, OH 44718

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Linda M Clark Ma, Lppc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

KEMPSIE FISHER PC

Counselor (Professional)