AMY PATRICE CLARK
NPI 1144872854
Counselor - Professional in Austin, TX
About Amy Patrice Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY PATRICE CLARK (NPI 1144872854) is an individual professional provider in Austin, Texas, licensed in Texas (71649) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Patrice Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78746
AUSTIN, TX 78746
AUSTIN, TX 78746
AUSTIN, TX 78746
AUSTIN, TX 78746
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 Amy Clark's NPI number?
The NPI number for Amy Clark is 1144872854. It was assigned to this individual provider in the NPPES registry on July 12, 2019.
Where is Amy Clark located?
Amy Clark practices at 2525 Wallingwood Dr Building 1 Suite 208, Austin, TX 78746. The listed phone number is (512) 975-3233.
What is Amy Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amy Clark enrolled in Medicare?
Yes. Amy Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Clark reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Amy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Clark accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 1 other insurer list Amy 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 Amy Clark was last updated on July 12, 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.
# Amy Patrice Clark · NPI 1144872854
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since July 12, 2019.
## Identity
- **NPI:** 1144872854 (Entity type: Individual)
- **Enumerated:** July 12, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 71649 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2525 WALLINGWOOD DR, BUILDING 1 SUITE 208, Austin, TX 78746
- **Phone:** (512) 975-3233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1144872854) · Data from the CMS NPPES public registry.