MRS. SANDRA DENICE CLARK ED.S
NPI 1205142106
Counselor - Professional in Meridian, MS
About Mrs. Sandra Denice Clark Ed.s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SANDRA DENICE CLARK ED.S (NPI 1205142106) is an individual professional provider in Meridian, Mississippi, licensed in Mississippi (0804) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Sandra Denice Clark Ed.s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sandra Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Meridian, MS 39305
- Reassigned Medicare billing, Mississippi enrollment
- 18 clinicians in this Medicare group
Meridian, MS 39305
- Reassigned Medicare billing, Mississippi enrollment
- 17 clinicians in this Medicare group
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sandra Clark's NPI number?
The NPI number for Sandra Clark is 1205142106. It was assigned to this individual provider in the NPPES registry on August 30, 2010.
Where is Sandra Clark located?
Sandra Clark practices at 5701 N Hills St, Meridian, MS 39307. The listed phone number is (601) 581-7562.
What is Sandra Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sandra Clark enrolled in Medicare?
Yes. Sandra Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandra Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Clark reassigns Medicare benefits to 2 organizations: Positive Innergy Counseling Services, LLC (Meridian, MS) and Greater Meridian Health Clinic, Inc. (Meridian, MS). Each 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 Sandra Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Clark accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Cigna HealthCare of Arizona, Inc and 9 other insurers list Sandra 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 Sandra Clark was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Sandra Denice Clark, ED.S · NPI 1205142106
Professional provider in Meridian, Mississippi. Individual provider, active in the CMS NPPES registry since August 30, 2010.
## Identity
- **NPI:** 1205142106 (Entity type: Individual)
- **Enumerated:** August 30, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0804 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 5701 N HILLS ST, Meridian, MS 39307-2903
- **Phone:** (601) 581-7562 · **Fax:** (601) 581-7676
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Positive Innergy Counseling Services, LLC (NPI 1003432626, Meridian, MS); Greater Meridian Health Clinic, Inc. (NPI 1366955817, Meridian, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** August 31, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1205142106) · Data from the CMS NPPES public registry.