KATHERINE PATRICIA CLARK LMHC
NPI 1154089639
Counselor - Mental Health in Rochester, NY

NPI Status: Active since December 02, 2021

Contact Information

490 E RIDGE RD
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-2500
Fax: (585) 922-2646

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  • Individual
  • Female
  • Years of Experience 5
  • Counselor
  • Mental Health
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About KATHERINE CLARK

This page provides the complete NPI Profile along with additional information for Katherine Clark, a provider established in Rochester, New York with a medical specialization in Counselor, focusing in mental health and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1154089639 assigned on December 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 2 years ago. Katherine Clark operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1154089639
Provider Name
KATHERINE PATRICIA CLARK LMHC
Gender
Female
Entity Type
Individual
Location Address
490 E RIDGE RD ROCHESTER, NY 14621
Location Phone
(585) 922-2500
Location Fax
(585) 922-2646
Mailing Address
490 E RIDGE RD ROCHESTER, NY 14621
Mailing Phone
(585) 922-2500
Mailing Fax
(585) 922-2646
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
Yes
Enumeration Date
12-02-2021
Last Update Date
10-17-2024
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A mental health counselor like Katherine Clark provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License State
NY

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Medicare Participation & PECOS Enrollment Status

Katherine Clark is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Katherine Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5092210898

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250923003912

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for KATHERINE PATRICIA CLARK LMHC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154089639, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 0 + 8 + 1 + 8 + 6 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154089639.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor
490 E RIDGE RD
ROCHESTER, NY 14621
Social Worker (Clinical)
490 E RIDGE RD
ROCHESTER, NY 14621
Social Worker (Clinical)
490 E RIDGE RD
ROCHESTER, NY 14621
Social Worker (Clinical)
490 E RIDGE RD
ROCHESTER, NY 14621
Social Worker (Clinical)
490 E RIDGE RD
ROCHESTER, NY 14621
Social Worker
490 E RIDGE RD, CHILD AND YOUTH
ROCHESTER, NY 14621
Counselor (Mental Health)
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621
Registered Nurse (Psychiatric/Mental Health)
490 E RIDGE RD
ROCHESTER, NY 14621
Registered Nurse
490 E RIDGE RD
ROCHESTER, NY 14621
Social Worker
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Mental Health)
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor
490 E RIDGE RD
ROCHESTER, NY 14621
Registered Nurse
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Addiction (Substance Use Disorder))
490 E RIDGE RD
ROCHESTER, NY 14621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154089639, enumerated as an "individual" on December 02, 2021.

The provider is located at 490 E RIDGE RD ROCHESTER, NY 14621 and the phone number is (585) 922-2500.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.