MR. MARK P CLARK LPCC
NPI 1215255682
Counselor - Professional in Blue Ash, OH
About Mr. Mark P Clark Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK P CLARK LPCC (NPI 1215255682) is an individual professional provider in Blue Ash, Ohio, licensed in Ohio (E.0800186) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Mark P Clark Lpcc 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 Mark Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Indiana enrollment
- 80 clinicians in this Medicare group
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 713 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLUE ASH, OH 45242
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 Mark Clark's NPI number?
The NPI number for Mark Clark is 1215255682. It was assigned to this individual provider in the NPPES registry on May 11, 2010.
Where is Mark Clark located?
Mark Clark practices at 10200 Alliance Rd Ste 150, Blue Ash, OH 45242. The listed phone number is (216) 468-5000.
What is Mark Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mark Clark enrolled in Medicare?
Yes. Mark 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 Mark Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Clark reassigns Medicare benefits to 2 organizations: Community Mental Health Center Inc (Lawrenceburg, IN) and Psychological & Behavioral Consultants, LLC (Beachwood, OH). 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 Mark Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Clark accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Mark 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 Mark Clark was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Mark P Clark, LPCC · NPI 1215255682
Professional provider in Blue Ash, Ohio. Individual provider, active in the CMS NPPES registry since May 11, 2010.
## Identity
- **NPI:** 1215255682 (Entity type: Individual)
- **Enumerated:** May 11, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** E.0800186 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 10200 ALLIANCE RD STE 150, Blue Ash, OH 45242-4754
- **Phone:** (216) 468-5000
## 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): Community Mental Health Center Inc (NPI 1588732747, Lawrenceburg, IN); Psychological & Behavioral Consultants, LLC (NPI 1811915713, Beachwood, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215255682) · Data from the CMS NPPES public registry.