Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. PAUL FRAISER CLARK III LPC
NPI 1164183356
Counselor - Mental Health in Gulfport, MS

Q: What is Paul Clark's NPI number?

The NPI number for Paul Clark is 1164183356. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Paul Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Clark was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since January 10, 2022

4902 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 871-2555 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Apr 10, 2023, Sep 23, 2022 and 2 more (5 updates tracked since 2022).

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About Mr. Paul Fraiser Clark Iii Lpc NPPES

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

MR. PAUL FRAISER CLARK III LPC (NPI 1164183356) is an individual mental health provider in Gulfport, Mississippi, licensed in Mississippi (3342) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1164183356

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. PAUL FRAISER CLARK IIICredential: LPC

Location Address4902 MARVIN SHIELDS BLVDGulfport, MS 39501-9006

Mailing Address4902 Marvin Shields BlvdGulfport, MS 39501-9006 · (228) 871-2555

Phone(228) 871-2555

Sole ProprietorNo

Enumeration DateJanuary 10, 2022

Last NPPES UpdateOctober 9, 20265 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1164183356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in MS · 3342✔ Licensed in MS · P-1301✔ Licensed in AR · A2208031

Also ListedCounselorTaxonomy 101Y00000X · License A2208031 (AR)

4902 MARVIN SHIELDS BLVD, Gulfport, MS 39501

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Other Providers at the Same Location NPPES

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

DEBBIE ANN MILLER RDH

Dental Hygienist

4902 MARVIN SHIELDS BLVD
GULFPORT, MS 39501

Harrison County (228) 871-2605

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 Paul Clark's NPI number?

The NPI number for Paul Clark is 1164183356. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Paul Clark located?

Paul Clark practices at 4902 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 871-2555.

What is Paul Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Paul Clark was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.