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MRS. BRITTANY KRISTIN CLARK LMHC
NPI 1255040069
Counselor - Mental Health in West Babylon, NY

Active since November 21, 2022PECOS EnrolledAccepts Medicare Assignment
511 18TH ST, WEST BABYLON, NY 11704(631) 758-0474(631) 758-0467 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brittany Kristin Clark Lmhc NPPES

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

MRS. BRITTANY KRISTIN CLARK LMHC (NPI 1255040069) is an individual mental health provider in West Babylon, New York, licensed in New York (009119) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255040069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. BRITTANY KRISTIN CLARKCredential: LMHC
Location Address511 18TH STWest Babylon, NY 11704-2205
Mailing Address511 18th StWest Babylon, NY 11704-2205 · (631) 758-0474 · Fax (631) 758-0467
Phone(631) 758-0474
Fax(631) 758-0467
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 21, 2022
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1255040069 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 NY · 009119
511 18TH ST, West Babylon, NY 11704
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1312 Expressway Dr SMedford, NY 11763-2555 · Phone (631) 758-0474 ext. 2212 · Fax (631) 758-0467
Location 2400 Crooked Hill RdBrentwood, NY 11717-1039 · Phone (631) 231-3232 · Fax (631) 231-3370

Other Identifiers 1

Other009119NY · Lmhc License

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. Brittany Kristin Clark Lmhc 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 ID7719404490
PECOS Enrollment IDI20250506002531
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.

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 Brittany Clark's NPI number?

The NPI number for Brittany Clark is 1255040069. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Brittany Clark located?

Brittany Clark practices at 511 18th St, West Babylon, NY 11704. The listed phone number is (631) 758-0474.

What is Brittany Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brittany Clark enrolled in Medicare?

Yes. Brittany 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.

When was this NPI record last updated?

The NPPES record for Brittany Clark was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.