MADELINE GRACE CLARK
NPI 1568179299
Speech-Language Pathologist in Brookeland, TX
About Madeline Grace Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELINE GRACE CLARK (NPI 1568179299) is an individual speech-language pathologist provider in Brookeland, Texas, licensed in Texas (123565) and active in the NPI registry since November 2022. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madeline Grace Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madeline Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jasper, TX 75951
- Reassigned Medicare billing, Texas enrollment
- 10 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.
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 Madeline Clark's NPI number?
The NPI number for Madeline Clark is 1568179299. It was assigned to this individual provider in the NPPES registry on November 2, 2022.
Where is Madeline Clark located?
Madeline Clark practices at 3989 Fm 1007, Brookeland, TX 75931. The listed phone number is (936) 332-3298.
What is Madeline Clark's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Madeline Clark enrolled in Medicare?
Yes. Madeline Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Madeline Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Clark reassigns Medicare benefits to Allee Therapy, LLC (Jasper, TX). 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 Madeline Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Madeline Clark was last updated on February 3, 2026. 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.
# Madeline Grace Clark · NPI 1568179299
Speech-Language Pathologist provider in Brookeland, Texas. Individual provider, active in the CMS NPPES registry since November 2, 2022.
## Identity
- **NPI:** 1568179299 (Entity type: Individual)
- **Enumerated:** November 2, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 123565 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3989 FM 1007, Brookeland, TX 75931-4673
- **Phone:** (936) 332-3298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Allee Therapy, LLC (NPI 1194354548, Jasper, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568179299) · Data from the CMS NPPES public registry.