PAUL R CLARK LPC
NPI 1285964163
Counselor in Fond Du Lac, WI

Active since December 28, 2009
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4200 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul R Clark Lpc NPPES

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

PAUL R CLARK LPC (NPI 1285964163) is an individual counselor in Fond Du Lac, Wisconsin, licensed in Wisconsin (4259-125) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1285964163
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NamePAUL R CLARKCredential: LPC
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address430 E Division StFond Du Lac, WI 54935-4560 · (920) 926-4200
Sole ProprietorNo
Enumeration DateDecember 28, 2009
NPI 1285964163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WI · 4259-125
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

430 E DIVISION ST, Fond Du Lac, WI 54935

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.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

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 Paul Clark's NPI number?

The NPI number for Paul Clark is 1285964163. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Where is Paul Clark located?

Paul Clark practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4200.

What is Paul Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Paul Clark was last updated on December 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.