LAWRENCE CLARK LCMHC, LCASA, LPC
NPI 1346708658
Counselor - Professional in Charlotte, NC

Active since March 05, 2019PECOS Enrolled
9625 DAVID TAYLOR DR, CHARLOTTE, NC 28262(704) 387-8591 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 6, 2024, Apr 22, 2019, Mar 5, 2019 (3 updates tracked since 2019).

About Lawrence Clark Lcmhc, Lcasa, Lpc NPPES

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

LAWRENCE CLARK LCMHC, LCASA, LPC (NPI 1346708658) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (14680) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346708658
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLAWRENCE CLARKCredential: LCMHC, LCASA, LPC
Location Address9625 DAVID TAYLOR DRCharlotte, NC 28262-2362
Mailing Address13814 Holgate Hill DrMint Hill, NC 28227-7507 · (704) 387-8591
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1346708658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 14680
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS25210 (NC)
9625 DAVID TAYLOR DR, Charlotte, NC 28262

Secondary Practice Locations 2

Location 11905 J N Pease Pl Ste 101Charlotte, NC 28262-4516 · Phone (704) 387-8591
Location 213814 Holgate Hill DrMint Hill, NC 28227-7507 · Phone (704) 221-9957

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lawrence Clark Lcmhc, Lcasa, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262
General Practice
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262
Community Based Residential Treatment Facility, Mental Illness
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262
In Home Supportive Care
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262

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 Lawrence Clark's NPI number?

The NPI number for Lawrence Clark is 1346708658. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Lawrence Clark located?

Lawrence Clark practices at 9625 David Taylor Dr, Charlotte, NC 28262. The listed phone number is (704) 387-8591.

What is Lawrence Clark's specialty?

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

Is Lawrence Clark enrolled in Medicare?

Yes. Lawrence Clark is registered in the Medicare PECOS enrollment system.

What insurance does Lawrence Clark accept?

Health plans from Blue Cross and Blue Shield of NC list Lawrence Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Clark was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.