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MRS. SANDRA DENICE CLARK ED.S
NPI 1205142106
Counselor - Professional in Meridian, MS

Active since August 30, 2010PECOS EnrolledAccepts Medicare Assignment
5701 N HILLS ST, MERIDIAN, MS 39307(601) 581-7562(601) 581-7676 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205142106
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SANDRA DENICE CLARKCredential: ED.S
Location Address5701 N HILLS STMeridian, MS 39307-2903
Mailing AddressPo Box 4128Meridian, MS 39304-4128 · (601) 581-7636 · Fax (601) 581-7676
Phone(601) 581-7562
Fax(601) 581-7676
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 30, 2010
Last NPPES UpdateAugust 31, 2010
✔ NPI 1205142106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 0804
Also ListedCounselorTaxonomy 101Y00000X · License 0804 (MS)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH0061 (MS)
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 168226 (MS)
5701 N HILLS ST, Meridian, MS 39307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5890134894
PECOS Enrollment IDI20240423001806
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 5

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

MS. MARIA BRITT LPC, LCMHT
Counselor (Professional)
5701 N HILLS ST
MERIDIAN, MS 39307
Lauderdale County (601) 581-7562
MS. MARTHA HEARNS LCSW
Social Worker
5701 N HILLS ST
MERIDIAN, MS 39307
Lauderdale County (601) 581-8155
JOYCE A BARBER ED.S. LPC
Counselor (Professional)
5701 N HILLS ST
MERIDIAN, MS 39307
Lauderdale County (601) 581-7562
MRS. SHELIA NEWBAKER LCSW, CMHT
Social Worker
5701 N HILLS ST
MERIDIAN, MS 39307
Lauderdale County (601) 581-7562
MS. BARBARA CAROL RAGEN LPC, NCC
Counselor (Professional)
5701 N HILLS ST
MERIDIAN, MS 39307
Lauderdale County (601) 581-7562

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.

What insurance does Sandra Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 8 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 15 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.