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HEATHER JEAN CLARK MA, LPC
NPI 1144968694
Counselor - Mental Health in Maple Shade, NJ

Active since May 24, 2022PECOS EnrolledAccepts Medicare Assignment
43 VILLAGE OF STONEY RUN APT F, MAPLE SHADE, NJ 08052(609) 617-4604 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, May 24, 2022 (2 updates tracked since 2022).

About Heather Jean Clark Ma, Lpc NPPES

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

HEATHER JEAN CLARK MA, LPC (NPI 1144968694) is an individual mental health provider in Maple Shade, New Jersey, licensed in Pennsylvania (PC014131) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1144968694
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER JEAN CLARKCredential: MA, LPC
Location Address43 VILLAGE OF STONEY RUN APT FMaple Shade, NJ 08052-2143
Mailing Address43 Village Of Stoney Run Apt FMaple Shade, NJ 08052-2143 · (609) 617-4604
Phone(609) 617-4604
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 24, 2022
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1144968694 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 PA · PC014131
43 VILLAGE OF STONEY RUN APT F, Maple Shade, NJ 08052
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Secondary Practice Location 1

Location 1255 S 17th St Fl 9Philadelphia, PA 19103-6209 · Phone (215) 608-0040 · Fax (267) 227-9989

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Jean Clark Ma, 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 ID4789121344
PECOS Enrollment IDI20240801001063
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.

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1144968694. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Heather Clark located?

Heather Clark practices at 43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052. The listed phone number is (609) 617-4604.

What is Heather Clark's specialty?

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

Is Heather Clark enrolled in Medicare?

Yes. Heather 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.

When was this NPI record last updated?

The NPPES record for Heather Clark was last updated on July 19, 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.