KAYLA ENNETTE CLARK MS, LPC
NPI 1093471708
Counselor - Professional in Denton, TX

Active since November 17, 2021PECOS EnrolledAccepts Medicare Assignment
2800 SHORELINE DR, DENTON, TX 76210(940) 222-2399 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kayla Ennette Clark Ms, Lpc NPPES

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

KAYLA ENNETTE CLARK MS, LPC (NPI 1093471708) is an individual professional provider in Denton, Texas, licensed in Texas (83912) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093471708
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAYLA ENNETTE CLARKCredential: MS, LPC
Location Address2800 SHORELINE DRDenton, TX 76210-0128
Mailing Address8604 Heather Ridge DrPlano, TX 75024-7393 · (903) 217-7629
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1093471708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 83912
2800 SHORELINE DR, Denton, TX 76210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayla Ennette Clark Ms, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688017700
PECOS Enrollment IDI20240206002223
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kayla Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
860 HEBRON PKWY, UNIT # 1101
Lewisville, TX 75057
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dietitian, Registered
2800 SHORELINE DR, SUITE #120
DENTON, TX 76210
Pharmacist
2800 SHORELINE DR, SUITE 120
DENTON, TX 76210
Dietitian, Registered
2800 SHORELINE DR
DENTON, TX 76210

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 Kayla Clark's NPI number?

The NPI number for Kayla Clark is 1093471708. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Kayla Clark located?

Kayla Clark practices at 2800 Shoreline Dr, Denton, TX 76210. The listed phone number is (940) 222-2399.

What is Kayla Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kayla Clark enrolled in Medicare?

Yes. Kayla Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kayla Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Clark reassigns Medicare benefits to 2 organizations: North Pointe Psychiatry, PA (Lewisville, TX) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health, Molina Healthcare and Oscar Insurance Company and 2 other insurers list Kayla Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayla Clark was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.