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WANDA MAE CLARK
NPI 1376866301
Counselor - Mental Health in Atlanta, GA

Active since March 04, 2010PECOS EnrolledAccepts Medicare Assignment
3424 PEACHTREE RD NE STE 2200, ATLANTA, GA 30326(323) 205-7088(833) 419-0181 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda Mae Clark NPPES

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

WANDA MAE CLARK (NPI 1376866301) is an individual mental health provider in Atlanta, Georgia, licensed in North Carolina (12159) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1376866301
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWANDA MAE CLARK
Location Address3424 PEACHTREE RD NE STE 2200Atlanta, GA 30326-1156
Mailing Address284 Executive Park Dr, Suite 100Concord, NC 28025-1831
Phone(323) 205-7088
Fax(833) 419-0181
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 4, 2010
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1376866301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 12159✔ Licensed in UT · 13049691-6004
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC012942 (GA)
3424 PEACHTREE RD NE STE 2200, Atlanta, GA 30326
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Wanda Mae Clark 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 ID4486178084
PECOS Enrollment IDI20250404000947
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 7

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

ALISON LEON LMFT
Marriage & Family Therapist
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (423) 637-9032
CORA FLOWERS
Counselor
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (323) 205-7088
MRS. SHANNON JOHNSON
Counselor (Professional)
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (323) 205-7088
MS. EVELYN TOMMIE LPC
Counselor (Professional)
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (323) 205-7088
TAMEKA SHANTA KING LPC
Counselor (Professional)
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (404) 436-2563
GERI CASSADY-BENSON LPC
Counselor (Professional)
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (323) 205-7088
SONYA SOMIKA BELLETTI LCSW
Social Worker (Clinical)
3424 PEACHTREE RD NE STE 2200
ATLANTA, GA 30326
Fulton County (954) 383-1656

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 Wanda Clark's NPI number?

The NPI number for Wanda Clark is 1376866301. It was assigned to this individual provider in the NPPES registry on March 4, 2010.

Where is Wanda Clark located?

Wanda Clark practices at 3424 Peachtree Rd NE Ste 2200, Atlanta, GA 30326. The listed phone number is (323) 205-7088.

What is Wanda Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Wanda Clark enrolled in Medicare?

Yes. Wanda 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 Wanda Clark accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Wanda 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 Wanda Clark was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.