JEANNINE PEARCE CLARK
NPI 1518684232
Counselor - Mental Health in Lauderdale By The Sea, FL
About Jeannine Pearce Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNINE PEARCE CLARK (NPI 1518684232) is an individual mental health provider in Lauderdale By The Sea, Florida, licensed in Florida (22609) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeannine Pearce Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeannine Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lauderdale By The Sea, FL 33308
- Reassigned Medicare billing, Florida enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAUDERDALE BY THE SEA, FL 33308
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 Jeannine Clark's NPI number?
The NPI number for Jeannine Clark is 1518684232. It was assigned to this individual provider in the NPPES registry on October 24, 2022.
Where is Jeannine Clark located?
Jeannine Clark practices at 271 Imperial Ln, Lauderdale By The Sea, FL 33308. The listed phone number is (954) 478-9328.
What is Jeannine Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeannine Clark enrolled in Medicare?
Yes. Jeannine Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeannine Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeannine Clark reassigns Medicare benefits to Triumph Mental Health Counseling, LLC (Lauderdale By The Sea, FL). 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 Jeannine Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeannine Clark accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Jeannine 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 Jeannine Clark was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeannine Pearce Clark · NPI 1518684232
Mental Health provider in Lauderdale By The Sea, Florida. Individual provider, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1518684232 (Entity type: Individual)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 22609 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 271 IMPERIAL LN, Lauderdale By The Sea, FL 33308-5924
- **Phone:** (954) 478-9328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Triumph Mental Health Counseling, LLC (NPI 1245037399, Lauderdale By The Sea, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 24, 2022
- **Other identifiers:** Medicaid 46-3082537 (FL); Medicaid 101YM0800X (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1518684232) · Data from the CMS NPPES public registry.