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

CALEB S CLARK LPCC
NPI 1194400085
Counselor in Tiffin, OH

Q: What is Caleb Clark's NPI number?

The NPI number for Caleb Clark is 1194400085. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Caleb Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caleb Clark was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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 June 19, 2023PECOS Enrolled

76 ASHWOOD DR, TIFFIN, OH 44883(419) 448-9440 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2026, May 15, 2026, Jun 7, 2024 and 1 more (4 updates tracked since 2023).

On this page

About Caleb S Clark Lpcc NPPES

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

CALEB S CLARK LPCC (NPI 1194400085) is an individual counselor in Tiffin, Ohio, licensed in Ohio (E.2607304) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194400085

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameCALEB S CLARKCredential: LPCC

Location Address76 ASHWOOD DRTiffin, OH 44883-1908

Mailing Address1925 Hayes AveSandusky, OH 44870-4737 · (419) 557-5177

Phone(419) 448-9440

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateJuly 10, 20264 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1194400085 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.2607304

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 · ProfessionalTaxonomy 101YP2500X · License C.2406123 (OH)

76 ASHWOOD DR, Tiffin, OH 44883

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb S Clark Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

MRS. ROBIN GAYE STUFFLEBEAN RN PC LICDC

Counselor