BRIDGET BLAKE CLARK LPC
NPI 1245950633
Counselor - Mental Health in Fairfield, CT
About Bridget Blake Clark Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGET BLAKE CLARK LPC (NPI 1245950633) is an individual mental health provider in Fairfield, Connecticut, licensed in Connecticut (005693) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Bridget Blake Clark Lpc 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 Reassignment
Medicare enrollment records show Bridget Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfield, CT 06824
- Reassigned Medicare billing, Connecticut enrollment
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
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 Bridget Clark's NPI number?
The NPI number for Bridget Clark is 1245950633. It was assigned to this individual provider in the NPPES registry on August 29, 2022.
Where is Bridget Clark located?
Bridget Clark practices at 121 Ann St, Fairfield, CT 06824. The listed phone number is (203) 919-8677.
What is Bridget Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bridget Clark enrolled in Medicare?
Yes. Bridget 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 organization bills Medicare for Bridget Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bridget Clark reassigns Medicare benefits to Bridget Clark Counseling LLC (Fairfield, CT). The 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 Bridget Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bridget Clark accept?
Health plans from Anthem Blue Cross and Blue Shield list Bridget 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 Bridget Clark was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Bridget Blake Clark, LPC · NPI 1245950633
Mental Health provider in Fairfield, Connecticut. Individual provider, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1245950633 (Entity type: Individual)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 005693 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 ANN ST, Fairfield, CT 06824-5801
- **Phone:** (203) 919-8677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bridget Clark Counseling LLC (NPI 1548112196, Fairfield, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1245950633) · Data from the CMS NPPES public registry.