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CODY WAYNE CLARK
NPI 1336968767
Peer Specialist in Ponca City, OK

Active since October 03, 2024
620 W GRAND AVE, PONCA CITY, OK 74601(580) 762-1462(581) 765-7299 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Wayne Clark NPPES

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

CODY WAYNE CLARK (NPI 1336968767) is an individual peer specialist in Ponca City, Oklahoma and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1336968767
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCODY WAYNE CLARK
Location Address620 W GRAND AVEPonca City, OK 74601-5123
Mailing Address620 W Grand AvePonca City, OK 74601-5123 · (580) 762-1462 · Fax (581) 765-7299
Phone(580) 762-1462
Fax(581) 765-7299
Sole ProprietorYes
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1336968767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
620 W GRAND AVE, Ponca City, OK 74601
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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.

ERIC SCOTT MILLS
Peer Specialist
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462
ASHLEY MERZ BS, MPS
Counselor (Addiction (Substance Use Disorder))
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462
MARK LEWIS DELANEY
Case Manager/Care Coordinator
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 761-4886
CHASE SCOTT THOMAS
Peer Specialist
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462
MICHAEL BELAIR
Peer Specialist
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462
BRIDGEWAY, INC.
Substance Abuse Rehabilitation Facility
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462
LORRIE HAZARD B.S., B.H.R.S.
Counselor (Addiction (Substance Use Disorder))
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462
JONI LANTZ
Case Manager/Care Coordinator
620 W GRAND AVE
PONCA CITY, OK 74601
Kay County (580) 762-1462

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 Cody Clark's NPI number?

The NPI number for Cody Clark is 1336968767. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Cody Clark located?

Cody Clark practices at 620 W Grand Ave, Ponca City, OK 74601. The listed phone number is (580) 762-1462.

What is Cody Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Cody Clark was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.