ELISABETH T CLARK
NPI 1184188039
Counselor - Professional in Manheim, PA

Active since January 24, 2019PECOS EnrolledAccepts Medicare Assignment
108 S MAIN ST, MANHEIM, PA 17545(717) 665-2675 Get Directions Write a Review

NPPES record last updated: January 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elisabeth T Clark NPPES

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

ELISABETH T CLARK (NPI 1184188039) is an individual professional provider in Manheim, Pennsylvania, licensed in Pennsylvania (PC001265) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1184188039
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISABETH T CLARK
Location Address108 S MAIN STManheim, PA 17545-1602
Mailing Address14 Bourbon Red DrMechanicsburg, PA 17050-7902 · (717) 903-1432
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 24, 2019
Last NPPES UpdateJanuary 26, 2019
NPI 1184188039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC001265
108 S MAIN ST, Manheim, PA 17545

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

Elisabeth T Clark 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 ID3375981715
PECOS Enrollment IDI20240404002817
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.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
108 S MAIN ST
MANHEIM, PA 17545
Counselor (Professional)
108 S MAIN ST
MANHEIM, PA 17545
Counselor
108 S MAIN ST
MANHEIM, PA 17545
Counselor (Mental Health)
108 S MAIN ST
MANHEIM, PA 17545
Psychologist (Clinical)
108 S MAIN ST
MANHEIM, PA 17545
Psychologist (Clinical)
108 S MAIN ST
MANHEIM, PA 17545
Psychologist
108 S MAIN ST
MANHEIM, PA 17545

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 Elisabeth Clark's NPI number?

The NPI number for Elisabeth Clark is 1184188039. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Where is Elisabeth Clark located?

Elisabeth Clark practices at 108 S Main St, Manheim, PA 17545. The listed phone number is (717) 665-2675.

What is Elisabeth Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elisabeth Clark enrolled in Medicare?

Yes. Elisabeth 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 Elisabeth Clark was last updated on January 26, 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.