EVANS CLARK
NPI 1477057727
Counselor - Mental Health in Mattoon, IL

Active since March 21, 2018
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5700 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evans Clark NPPES

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

EVANS CLARK (NPI 1477057727) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1477057727
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVANS CLARK
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700
Sole ProprietorNo
Enumeration DateMarch 21, 2018
NPI 1477057727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938

Other Providers at the Same Location NPPES 20

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

Counselor
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Professional)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938

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 Evans Clark's NPI number?

The NPI number for Evans Clark is 1477057727. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Evans Clark located?

Evans Clark practices at 750 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 238-5700.

What is Evans Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Evans Clark was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.