COURTNEY DENISE CLARK LPC-MHSP
NPI 1366056681
Counselor - Professional in Crossville, TN

Active since September 03, 2020PECOS EnrolledAccepts Medicare Assignment
502 MOCKINGBIRD DR, CROSSVILLE, TN 38555(931) 787-2551 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Courtney Denise Clark Lpc-mhsp NPPES

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

COURTNEY DENISE CLARK LPC-MHSP (NPI 1366056681) is an individual professional provider in Crossville, Tennessee, licensed in Tennessee (LPC0000004337) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366056681
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY DENISE CLARKCredential: LPC-MHSP
Location Address502 MOCKINGBIRD DRCrossville, TN 38555-5836
Mailing Address502 Mockingbird DrCrossville, TN 38555-5836 · (931) 787-2551
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
NPI 1366056681 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 TN · LPC0000004337
502 MOCKINGBIRD DR, Crossville, TN 38555

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 and accepts Medicare assignment

Courtney Denise Clark Lpc-mhsp 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 ID3072965912
PECOS Enrollment IDI20240117000576
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.

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 Courtney Clark's NPI number?

The NPI number for Courtney Clark is 1366056681. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Courtney Clark located?

Courtney Clark practices at 502 Mockingbird Dr, Crossville, TN 38555. The listed phone number is (931) 787-2551.

What is Courtney Clark's specialty?

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

Is Courtney Clark enrolled in Medicare?

Yes. Courtney 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.

What insurance does Courtney Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Courtney 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 Courtney Clark was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.