JUDITH J CLARK LPC
NPI 1346421658
Counselor - Professional in Lebanon, PA
About Judith J Clark Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDITH J CLARK LPC (NPI 1346421658) is an individual professional provider in Lebanon, Pennsylvania, licensed in Pennsylvania (PC000691) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Judith J 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.
Medicare Billing Reassignment
Medicare enrollment records show Judith Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lebanon, PA 17042
- Reassigned Medicare billing, Pennsylvania enrollment
- 139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, PA 17042
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 Judith Clark's NPI number?
The NPI number for Judith Clark is 1346421658. It was assigned to this individual provider in the NPPES registry on November 15, 2007.
Where is Judith Clark located?
Judith Clark practices at 239 S Butler Rd, Lebanon, PA 17042. The listed phone number is (717) 273-8871.
What is Judith Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Judith Clark enrolled in Medicare?
Yes. Judith 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.
Which organization bills Medicare for Judith Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Clark reassigns Medicare benefits to Philhaven (Lebanon, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judith Clark was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Judith J Clark, LPC · NPI 1346421658
Professional provider in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 15, 2007.
## Identity
- **NPI:** 1346421658 (Entity type: Individual)
- **Enumerated:** November 15, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC000691 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 239 S BUTLER RD, Lebanon, PA 17042-8939
- **Phone:** (717) 273-8871 · **Fax:** (717) 270-2452
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Philhaven (NPI 1972598076, Lebanon, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** February 1, 2023
- **Other identifiers:** Other PC000691 (PA); Medicaid 103757394 (PA); Other 11836138
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Source: [NPI Profile](https://npiprofile.com/npi/1346421658) · Data from the CMS NPPES public registry.