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TEZLYN SAMANTHA CLARK
NPI 1194866350
Counselor - Mental Health in Anchorage, AK

Active since February 09, 2007Opted out of Medicare · through Apr 1, 2027
2600 DENALI ST STE 606, ANCHORAGE, AK 99503(907) 278-9355 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2024, Dec 5, 2024 (2 updates tracked since 2024).

About Tezlyn Samantha Clark NPPES

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

TEZLYN SAMANTHA CLARK (NPI 1194866350) is an individual mental health provider in Anchorage, Alaska, licensed in Alaska (598) and active in the NPI registry since February 2007. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1194866350
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTEZLYN SAMANTHA CLARK
Location Address2600 DENALI ST STE 606Anchorage, AK 99503-2754
Mailing Address2600 Denali St Ste 606Anchorage, AK 99503-2754 · (907) 278-9355
Phone(907) 278-9355
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateDecember 15, 20242 updates tracked since enumeration
NPPES CertifiedDecember 15, 2024
✔ NPI 1194866350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AK · 598
2600 DENALI ST STE 606, Anchorage, AK 99503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tezlyn Samantha Clark has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

MADGELL MOORE LCSW
Social Worker (Clinical)
2600 DENALI ST STE 606
ANCHORAGE, AK 99503
Anchorage Municipality (907) 343-9207
MR. RICHARD I STEINZEIG MSW, LCSW
Social Worker (Clinical)
2600 DENALI ST STE 606
ANCHORAGE, AK 99503
Anchorage Municipality (907) 278-1188
CHANGING TIDES CHILD AND FAMILY ENRICHMENT CENTER
Community/Behavioral Health
2600 DENALI ST STE 606
ANCHORAGE, AK 99503
Anchorage Municipality (907) 903-7880
MS. CHRISTY LEE WILLIAMS L.C.S.W.
Counselor (Mental Health)
2600 DENALI ST STE 606
ANCHORAGE, AK 99503
Anchorage Municipality (907) 258-1511
SUSITNA MARITAL COUNSELING
Marriage & Family Therapist
2600 DENALI ST STE 606
ANCHORAGE, AK 99503
Anchorage Municipality (907) 351-3223

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 Tezlyn Clark's NPI number?

The NPI number for Tezlyn Clark is 1194866350. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Tezlyn Clark located?

Tezlyn Clark practices at 2600 Denali St Ste 606, Anchorage, AK 99503. The listed phone number is (907) 278-9355.

What is Tezlyn Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tezlyn Clark enrolled in Medicare?

No. Tezlyn Clark has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tezlyn Clark accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tezlyn 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 Tezlyn Clark was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.