MS. MARY COLLEEN CLARKE MA
NPI 1548122971
Counselor - Mental Health in Saint Paul, MN
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
Specialties & Licenses
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)
Ms. Mary Colleen Clarke Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mary Clarke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 clinicians in this Medicare group
Chisago City, MN 55013
- Reassigned Medicare billing, Minnesota enrollment
- 8 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55116
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.
Which organizations bill Medicare for Mary Clarke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Clarke reassigns Medicare benefits to 2 organizations: Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN) and Minerva Center For Psychology PLLC (Chisago City, MN). Each 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 Mary Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Clarke accept?
Health plans from HealthPartners list Mary Clarke 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 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 10 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.
# Ms. Mary Colleen Clarke, MA · NPI 1548122971
Mental Health provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since November 24, 2025.
## Identity
- **NPI:** 1548122971 (Entity type: Individual)
- **Enumerated:** November 24, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 790 CLEVELAND AVE S STE 223, Saint Paul, MN 55116-3867
- **Phone:** (612) 552-1230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN); Minerva Center For Psychology PLLC (NPI 1528846961, Chisago City, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548122971) · Data from the CMS NPPES public registry.