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COLBY CLARK
NPI 1194451575
Peer Specialist in Tulsa, OK

Active since July 27, 2022
4103 S YALE AVE STE B, TULSA, OK 74135(918) 382-7300(918) 382-7302 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colby Clark NPPES

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

COLBY CLARK (NPI 1194451575) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1194451575
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCOLBY CLARK
Location Address4103 S YALE AVE STE BTulsa, OK 74135-6002
Mailing Address4103 S Yale Ave Ste BTulsa, OK 74135-6002 · (918) 382-7300 · Fax (918) 382-7302
Phone(918) 382-7300
Fax(918) 382-7302
Sole ProprietorNo
Enumeration DateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1194451575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4103 S YALE AVE STE B, Tulsa, OK 74135
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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. FELISA MONTEE
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 230-9751
CEDRIC DUANE WALKER
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
NICOLE MARIE SCOTT
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
SOPHIE DANIELLE CUMMINS
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
SETH VASANTH KUMAR NANDETI
Counselor (Mental Health)
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
DEANN GIBSON
Peer Specialist
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 568-0277
DYLAN COLE COMBS
Clinic/Center (Mental Health (Including Community Mental Health Center))
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
JENNY FLOWER
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300

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 Colby Clark's NPI number?

The NPI number for Colby Clark is 1194451575. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Colby Clark located?

Colby Clark practices at 4103 S Yale Ave Ste B, Tulsa, OK 74135. The listed phone number is (918) 382-7300.

What is Colby Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Colby Clark was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.