MS. CONNIE LYNN CLARK M.S.ED., LCPC
NPI 1205913191
Counselor - Professional in Springfield, IL

Q: What is Connie Clark's NPI number?

The NPI number for Connie Clark is 1205913191. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Connie Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Connie Clark was last updated on November 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 01, 2006

955 S DURKIN DR, STE. B, SPRINGFIELD, IL 62704(217) 753-1288 Get Directions Write a Review

NPPES record last updated: November 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Connie Lynn Clark M.s.ed., Lcpc NPPES

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

MS. CONNIE LYNN CLARK M.S.ED., LCPC (NPI 1205913191) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180.006792) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205913191

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. CONNIE LYNN CLARKCredential: M.S.ED., LCPC

Location Address955 S DURKIN DR, STE. BSpringfield, IL 62704-1370

Mailing Address955 S Durkin Dr, Ste. BSpringfield, IL 62704-1370 · (217) 753-1288

Phone(217) 753-1288

Sole ProprietorYes

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 8, 2008

✔ NPI 1205913191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.006792

Also ListedCounselorTaxonomy 101Y00000X · License 180.006792 (IL)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180.006792 (IL)

955 S DURKIN DR, Springfield, IL 62704

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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 Connie Clark's NPI number?

The NPI number for Connie Clark is 1205913191. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Connie Clark located?

Connie Clark practices at 955 S Durkin Dr Ste. B, Springfield, IL 62704. The listed phone number is (217) 753-1288.

What is Connie Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Connie Clark was last updated on November 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.