BRIDGET BLAKE CLARK LPC
NPI 1245950633
Counselor - Mental Health in Fairfield, CT

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
121 ANN ST, FAIRFIELD, CT 06824(203) 919-8677 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1245950633
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRIDGET BLAKE CLARKCredential: LPC
Location Address121 ANN STFairfield, CT 06824-5801
Mailing Address121 Ann StFairfield, CT 06824-5801 · (203) 919-8677
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 29, 2022
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1245950633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CT · 005693
121 ANN ST, Fairfield, CT 06824

Accepted 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

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.

PECOS PAC ID8729563473
PECOS Enrollment IDI20260331001068
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

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

Clinic/Center (Adult Mental Health)
121 ANN ST
FAIRFIELD, CT 06824

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.

What insurance does Bridget Clark accept?

Health plans from Providence Health Plan 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 6 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.