JUDITH J CLARK LPC
NPI 1346421658
Counselor - Professional in Lebanon, PA

Q: 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.

Q: What is Judith Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: 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.

Active since November 15, 2007PECOS EnrolledAccepts Medicare Assignment

239 S BUTLER RD, LEBANON, PA 17042(717) 273-8871(717) 270-2452 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2023, Nov 4, 2022 (2 updates tracked since 2022).

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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

NPI1346421658

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJUDITH J CLARKCredential: LPC

Location Address239 S BUTLER RDLebanon, PA 17042-8939

Mailing Address785 5th Ave Ste 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 709-6529

Phone(717) 273-8871

Fax(717) 270-2452

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 15, 2007

Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2023

✔ NPI 1346421658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC000691

239 S BUTLER RD, Lebanon, PA 17042

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Secondary Practice Location 1

Location 1283 S Butler RdLebanon, PA 17042-8939 · Phone (717) 273-8871 · Fax (717) 270-2442

Other Identifiers 3

OtherPC000691PA · State License - Pc

Medicaid103757394PA

Other11836138Caqh Id

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

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.

PECOS PAC ID7214385087

PECOS Enrollment IDI20240501000880

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.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY S HAMMARBERG CRNP

Nurse Practitioner (Psychiatric/Mental Health)