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VICKI LYNE CLARK M.ED.
NPI 1184790859
Counselor in Chardon, OH

Active since November 27, 2006
12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568(440) 285-4552 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicki Lyne Clark M.ed. NPPES

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

VICKI LYNE CLARK M.ED. (NPI 1184790859) is an individual counselor in Chardon, Ohio, licensed in Ohio (E 0002811) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184790859
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameVICKI LYNE CLARKCredential: M.ED.
Location Address12557 RAVENWOOD DRChardon, OH 44024-9009
Mailing Address7068 Constantine CtMentor, OH 44060-5124 · (440) 942-6135
Phone(440) 285-3568
Fax(440) 285-4552
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1184790859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · E 0002811
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E 0002811 (OH)
12557 RAVENWOOD DR, Chardon, OH 44024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

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.

KAILYN JOAN RATLIFF LPN
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
BILLIE SATAVA
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-2170
AUDREE ALICK LSW
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
WENDY MERLENE FRANCIS LPC
Counselor
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
TRISHA LYNN SIMONYI
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
VANESSA PLAUTZ
Peer Specialist
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
JOSHUA MARK RUBIN
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
CAROLYN GARDNER
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568

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 Vicki Clark's NPI number?

The NPI number for Vicki Clark is 1184790859. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Vicki Clark located?

Vicki Clark practices at 12557 Ravenwood Dr, Chardon, OH 44024. The listed phone number is (440) 285-3568.

What is Vicki Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Vicki Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Vicki 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 Vicki Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.