VICTORIA ISABELLE CLARK LMHC
NPI 1457880957
Counselor - Mental Health in St Petersburg, FL

Active since June 08, 2017PECOS Enrolled
689 CENTRAL AVE, ST PETERSBURG, FL 33701(727) 744-8732 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2019, Jun 8, 2017 (2 updates tracked since 2017).

About Victoria Isabelle Clark Lmhc NPPES

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

VICTORIA ISABELLE CLARK LMHC (NPI 1457880957) is an individual mental health provider in St Petersburg, Florida, licensed in Florida (13541) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457880957
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVICTORIA ISABELLE CLARKCredential: LMHC
Location Address689 CENTRAL AVESt Petersburg, FL 33701
Mailing Address4619 Helena St NeSt Petersburg, FL 33703-4357 · (727) 744-8732
Sole ProprietorYes
Enumeration DateJune 8, 2017
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1457880957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · 13541
689 CENTRAL AVE, St Petersburg, FL 33701

Secondary Practice Locations 2

Location 15411 Bayshore Blvd Apt 110Tampa, FL 33611-4138 · Phone (727) 744-8732
Location 24619 Helena St NESt Petersburg, FL 33703-4357 · Phone (727) 744-8732

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Victoria Isabelle Clark Lmhc 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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
689 CENTRAL AVE
ST PETERSBURG, FL 33701

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 Victoria Clark's NPI number?

The NPI number for Victoria Clark is 1457880957. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Victoria Clark located?

Victoria Clark practices at 689 Central Ave, St Petersburg, FL 33701. The listed phone number is (727) 744-8732.

What is Victoria Clark's specialty?

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

Is Victoria Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Victoria Clark was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.