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MRS. LISA LANDERS CLARK LPC
NPI 1437485836
Counselor - Professional in Savannah, GA

Active since October 20, 2009Opted out of Medicare · through Jan 2, 2028
1 WATERFORD LN, SAVANNAH, GA 31411(602) 751-6077(480) 452-1113 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Lisa Landers Clark Lpc NPPES

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

MRS. LISA LANDERS CLARK LPC (NPI 1437485836) is an individual professional provider in Savannah, Georgia, licensed in Georgia (6672) and active in the NPI registry since October 2009. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1437485836
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LISA LANDERS CLARKCredential: LPC
Location Address1 WATERFORD LNSavannah, GA 31411-1305
Mailing Address1 Waterford LnSavannah, GA 31411-1305 · (602) 751-6077 · Fax (480) 452-1113
Phone(602) 751-6077
Fax(480) 452-1113
Sole ProprietorYes
Enumeration DateOctober 20, 2009
Last NPPES UpdateNovember 29, 2016
✔ NPI 1437485836 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 GA · 6672
1 WATERFORD LN, Savannah, GA 31411
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Lisa Landers Clark Lpc 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 January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1437485836. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Lisa Clark located?

Lisa Clark practices at 1 Waterford Ln, Savannah, GA 31411. The listed phone number is (602) 751-6077.

What is Lisa Clark's specialty?

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

Is Lisa Clark enrolled in Medicare?

No. Lisa Clark has opted out of Medicare through January 2, 2028. 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 Lisa Clark was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.