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CALEB S CLARK LPCC
NPI 1194400085
Counselor in Tiffin, OH

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: November 01, 2026.

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

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 and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID749746394
PECOS Enrollment IDI20260803003904
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.

Medicare Billing Reassignment

Medicare enrollment records show Caleb Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Firelands Regional Medical Center
Same address
Mental Health (Including Community Mental Health Center)
76 ASHWOOD DR
Tiffin, OH 44883
  • Reassigned Medicare billing, Ohio enrollment
  • 60 clinicians in this Medicare group
NPI 1154372381 (419) 448-9440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
ALEXANDRA M STULTZ QMHS
Case Manager/Care Coordinator
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
TAMARA TONI SMITH-HAWKINS
Case Manager/Care Coordinator
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
NATALIE ANN EBERLY
Social Worker
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
FIRELANDS REGIONAL MEDICAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
AMANDA PAULEY
Social Worker
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
BRANDON EDWARD NUSBAUM
Counselor (Mental Health)
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440
MACKENZIE HALL SWT
Social Worker
76 ASHWOOD DR
TIFFIN, OH 44883
Seneca County (419) 448-9440

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 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.

Where is Caleb Clark located?

Caleb Clark practices at 76 Ashwood Dr, Tiffin, OH 44883. The listed phone number is (419) 448-9440.

What is Caleb Clark's specialty?

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

Is Caleb Clark enrolled in Medicare?

Yes. Caleb Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caleb Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Clark reassigns Medicare benefits to Firelands Regional Medical Center (Tiffin, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caleb Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleb Clark accept?

Health plans from MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Caleb 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 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 3 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.