ROBERTA CLARK
NPI 1326639808
Counselor in Marion, IL

Active since January 28, 2021
1307 W MAIN ST, MARION, IL 62959(618) 997-5336(618) 969-9410 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roberta Clark NPPES

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

ROBERTA CLARK (NPI 1326639808) is an individual counselor in Marion, Illinois and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1326639808
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameROBERTA CLARK
Location Address1307 W MAIN STMarion, IL 62959-1139
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Fax(618) 969-9410
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1326639808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.

1307 W MAIN ST, Marion, IL 62959

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 (Addiction (Substance Use Disorder))
1307 W MAIN ST
MARION, IL 62959
Counselor
1307 W MAIN ST
MARION, IL 62959
Case Manager/Care Coordinator
1307 W MAIN ST
MARION, IL 62959
Counselor
1307 W MAIN ST
MARION, IL 62959
Counselor
1307 W MAIN ST
MARION, IL 62959
Counselor
1307 W MAIN ST
MARION, IL 62959
Counselor (Addiction (Substance Use Disorder))
1307 W MAIN ST
MARION, IL 62959
Counselor
1307 W MAIN ST
MARION, IL 62959

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 Roberta Clark's NPI number?

The NPI number for Roberta Clark is 1326639808. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Roberta Clark located?

Roberta Clark practices at 1307 W Main St, Marion, IL 62959. The listed phone number is (618) 997-5336.

What is Roberta 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 Roberta Clark was last updated on January 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.