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MS. MARY COLLEEN CLARKE MA
NPI 1548122971
Counselor - Mental Health in Saint Paul, MN

Active since November 24, 2025PECOS Enrolled
790 CLEVELAND AVE S STE 223, SAINT PAUL, MN 55116(612) 552-1230 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Colleen Clarke Ma NPPES

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

MS. MARY COLLEEN CLARKE MA (NPI 1548122971) is an individual mental health provider in Saint Paul, Minnesota and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548122971
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY COLLEEN CLARKECredential: MA
Location Address790 CLEVELAND AVE S STE 223Saint Paul, MN 55116-3867
Mailing Address2136 Ford PkwySaint Paul, MN 55116-2850 · (612) 552-1230
Phone(612) 552-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1548122971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
790 CLEVELAND AVE S STE 223, Saint Paul, MN 55116
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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. Mary Colleen Clarke Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901384650
PECOS Enrollment IDI20260203001911
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.

Other Providers at the Same Location NPPES

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

CORINNE MARIE NECHALOVA
Counselor (Professional)
790 CLEVELAND AVE S STE 223
SAINT PAUL, MN 55116
Ramsey County (971) 345-5406

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 Mary Clarke's NPI number?

The NPI number for Mary Clarke is 1548122971. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Mary Clarke located?

Mary Clarke practices at 790 Cleveland Ave S Ste 223, Saint Paul, MN 55116. The listed phone number is (612) 552-1230.

What is Mary Clarke's specialty?

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

Is Mary Clarke enrolled in Medicare?

Yes. Mary Clarke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Clarke was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.