DR. JULIE D CLARK PHD
NPI 1487084968
Counselor - Mental Health in Ponca City, OK
About Dr. Julie D Clark Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JULIE D CLARK PHD (NPI 1487084968) is an individual mental health provider in Ponca City, Oklahoma and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Muskogee.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Julie D Clark Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Julie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PONCA CITY, OK 74601
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 Julie Clark's NPI number?
The NPI number for Julie Clark is 1487084968. It was assigned to this individual provider in the NPPES registry on November 19, 2013. The provider is also known as Dr. Julie Diane Gallaher Clark Phd.
Where is Julie Clark located?
Julie Clark practices at 200 White Eagle Dr, Ponca City, OK 74601. The listed phone number is (580) 762-3421.
What is Julie Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Julie Clark enrolled in Medicare?
Yes. Julie Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julie Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Clark reassigns Medicare benefits to White Eagle Health Center (Ponca City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julie Clark accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Julie 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 Julie Clark was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Julie D Clark, PHD · NPI 1487084968
Mental Health provider in Ponca City, Oklahoma. Individual provider, active in the CMS NPPES registry since November 19, 2013.
## Identity
- **NPI:** 1487084968 (Entity type: Individual)
- **Enumerated:** November 19, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 200 WHITE EAGLE DR, Ponca City, OK 74601-8315
- **Phone:** (580) 762-3421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** White Eagle Health Center (NPI 1699875724, Ponca City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487084968) · Data from the CMS NPPES public registry.