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EMILY CLARK
NPI 1528905015
Counselor - Mental Health in Carmel, IN

Active since May 01, 2026PECOS Enrolled
14337 N GRAY RD, CARMEL, IN 46033(219) 851-3473 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emily Clark NPPES

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

EMILY CLARK (NPI 1528905015) is an individual mental health provider in Carmel, Indiana, licensed in Indiana (39005999A) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1528905015
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY CLARK
Location Address14337 N GRAY RDCarmel, IN 46033-9630
Mailing Address14337 N Gray RdCarmel, IN 46033-9630 · (219) 851-3473
Phone(219) 851-3473
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1528905015 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 IN · 39005999A
14337 N GRAY RD, Carmel, IN 46033
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082179858
PECOS Enrollment IDI20260722001870
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.

Medicare Billing Reassignment

Medicare enrollment records show Emily Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renewal, LLC
3.8 mi
Marriage & Family Therapist
12265 HANCOCK ST STE 37
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 8 clinicians in this Medicare group
NPI 1023356177 (317) 730-5155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emily Clark's NPI number?

The NPI number for Emily Clark is 1528905015. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Emily Clark located?

Emily Clark practices at 14337 N Gray Rd, Carmel, IN 46033. The listed phone number is (219) 851-3473.

What is Emily Clark's specialty?

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

Is Emily Clark enrolled in Medicare?

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

Which organization bills Medicare for Emily Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Clark reassigns Medicare benefits to Renewal, LLC (Carmel, IN). 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 Emily Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Emily 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 Emily Clark was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.