LASHEENA J. CLARK
NPI 1093941957
Counselor - Professional in Chicago, IL

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
1448 N MILWAUKEE AVE STE 201, CHICAGO, IL 60622(312) 476-9064 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lasheena J. Clark NPPES

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

LASHEENA J. CLARK (NPI 1093941957) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.012484) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cicero, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093941957
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLASHEENA J. CLARK
Location Address1448 N MILWAUKEE AVE STE 201Chicago, IL 60622-9225
Mailing Address1448 N Milwaukee Ave Ste 201Chicago, IL 60622-9225 · (312) 476-9064
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 5, 2009
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1093941957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.012484
1448 N MILWAUKEE AVE STE 201, Chicago, IL 60622

Secondary Practice Location 1

Location 15341 W Cermak RdCicero, IL 60804-2817 · Phone (708) 656-6430

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

Lasheena J. Clark 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 ID143662775
PECOS Enrollment IDI20240528001606
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 Reassignment

Medicare enrollment records show Lasheena Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1431 N WESTERN AVE, STE 406
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 76 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 20

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

In Home Supportive Care
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Social Worker
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Counselor (Professional)
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Counselor (Professional)
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Counselor (Mental Health)
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Social Worker (Clinical)
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Counselor
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622
Social Worker (Clinical)
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622

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 Lasheena Clark's NPI number?

The NPI number for Lasheena Clark is 1093941957. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Where is Lasheena Clark located?

Lasheena Clark practices at 1448 N Milwaukee Ave Ste 201, Chicago, IL 60622. The listed phone number is (312) 476-9064.

What is Lasheena Clark's specialty?

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

Is Lasheena Clark enrolled in Medicare?

Yes. Lasheena 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 organization bills Medicare for Lasheena Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lasheena Clark reassigns Medicare benefits to Primecare Community Health, Inc. (Chicago, IL). The 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 Lasheena Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lasheena Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Lasheena 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 Lasheena Clark was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.