MILES ANTHONY CLARK MFT
NPI 1104399765
Counselor - Mental Health in Elk, CA

Active since January 07, 2019
34175 PHILO GREENWOOD RD, ELK, CA 95432(707) 877-3406 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miles Anthony Clark Mft NPPES

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

MILES ANTHONY CLARK MFT (NPI 1104399765) is an individual mental health provider in Elk, California, licensed in California (LMFT48989) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1104399765
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMILES ANTHONY CLARKCredential: MFT
Location Address34175 PHILO GREENWOOD RDElk, CA 95432
Mailing AddressPo Box 77Elk, CA 95432-0077 · (707) 877-3406
Sole ProprietorYes
Enumeration DateJanuary 7, 2019
NPI 1104399765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · LMFT48989
34175 PHILO GREENWOOD RD, Elk, CA 95432

Accepted Insurance

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 Miles Clark's NPI number?

The NPI number for Miles Clark is 1104399765. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Miles Clark located?

Miles Clark practices at 34175 Philo Greenwood Rd, Elk, CA 95432. The listed phone number is (707) 877-3406.

What is Miles Clark's specialty?

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

What insurance does Miles Clark accept?

Health plans from Providence Health Plan list Miles 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 Miles Clark was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.