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MS. LESLIE A. CLARK LPC, CSAC, CIR, ICS-
NPI 1497092704
Counselor - Mental Health in Oak Creek, WI

Active since January 07, 2013PECOS Enrolled
7071 S. 13TH STREET, SUITE 100, OAK CREEK, WI 53154(414) 367-6698 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Apr 17, 2024, Mar 7, 2019 (2 updates tracked since 2019).

About Ms. Leslie A. Clark Lpc, Csac, Cir, Ics- NPPES

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

MS. LESLIE A. CLARK LPC, CSAC, CIR, ICS- (NPI 1497092704) is an individual mental health provider in Oak Creek, Wisconsin, licensed in Wisconsin (5204-125) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497092704
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LESLIE A. CLARKCredential: LPC, CSAC, CIR, ICS-
Location Address7071 S. 13TH STREET, SUITE 100Oak Creek, WI 53154
Mailing Address11011 W. North Ave., Apt.309Wauwatosa, WI 53226 · (414) 367-6698
Phone(414) 367-6698
Sole ProprietorNo
Enumeration DateJanuary 7, 2013
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1497092704 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 WI · 5204-125✔ Licensed in WI · 16215-132
Also ListedSocial WorkerTaxonomy 104100000X · License 1180-226 (WI)
7071 S. 13TH STREET, Oak Creek, WI 53154
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Other Identifiers 1

Medicaid100027595WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Leslie A. Clark Lpc, Csac, Cir, Ics- 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.

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 Leslie Clark's NPI number?

The NPI number for Leslie Clark is 1497092704. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Where is Leslie Clark located?

Leslie Clark practices at 7071 S. 13th Street Suite 100, Oak Creek, WI 53154. The listed phone number is (414) 367-6698.

What is Leslie Clark's specialty?

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

Is Leslie Clark enrolled in Medicare?

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

What insurance does Leslie Clark accept?

Health plans from Providence Health Plan list Leslie 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 Leslie Clark was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.