MR. SHELDON DUNHAM CLARK LPC-MHSP
NPI 1356186803
Counselor - Mental Health in Brentwood, TN
About Mr. Sheldon Dunham Clark Lpc-mhsp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHELDON DUNHAM CLARK LPC-MHSP (NPI 1356186803) is an individual mental health provider in Brentwood, Tennessee, licensed in Tennessee (6655) and active in the NPI registry since June 2024. He has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Franklin.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Sheldon Dunham Clark Lpc-mhsp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.
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.
BRENTWOOD, TN 37027
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 Sheldon Clark's NPI number?
The NPI number for Sheldon Clark is 1356186803. It was assigned to this individual provider in the NPPES registry on June 26, 2024.
Where is Sheldon Clark located?
Sheldon Clark practices at 5120 Virginia Way Ste C-12, Brentwood, TN 37027. The listed phone number is (615) 212-8614.
What is Sheldon Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sheldon Clark enrolled in Medicare?
No. Sheldon Clark has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Sheldon Clark was last updated on June 26, 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.
# Mr. Sheldon Dunham Clark, LPC-MHSP · NPI 1356186803
Mental Health provider in Brentwood, Tennessee. Individual provider, active in the CMS NPPES registry since June 26, 2024.
## Identity
- **NPI:** 1356186803 (Entity type: Individual)
- **Enumerated:** June 26, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6655 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5120 VIRGINIA WAY STE C-12, Brentwood, TN 37027-7515
- **Phone:** (615) 212-8614
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356186803) · Data from the CMS NPPES public registry.