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DERRICK ROGERS CLARK LPC
NPI 1609184324
Counselor - Mental Health in Iowa City, IA

Active since September 15, 2010PECOS EnrolledAccepts Medicare Assignment
673 WESTBURY DR STE 201, IOWA CITY, IA 52245(319) 356-6352(319) 358-2367 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick Rogers Clark Lpc NPPES

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

DERRICK ROGERS CLARK LPC (NPI 1609184324) is an individual mental health provider in Iowa City, Iowa, licensed in Iowa (072850) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609184324
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK ROGERS CLARKCredential: LPC
Location Address673 WESTBURY DR STE 201Iowa City, IA 52245-2732
Mailing Address673 Westbury Dr Ste 201Iowa City, IA 52245-2732 · (319) 356-6352 · Fax (319) 358-2367
Phone(319) 356-6352
Fax(319) 358-2367
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 15, 2010
Last NPPES UpdateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
✔ NPI 1609184324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 072850
Also ListedCounselorTaxonomy 101Y00000X · License 2010031959 (MO)
673 WESTBURY DR STE 201, Iowa City, IA 52245
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derrick Rogers Clark Lpc 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.

PECOS PAC ID2860962834
PECOS Enrollment IDI20260601000125
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 5

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

MIRANDA ELAINE MCHUGH LMSW
Social Worker
673 WESTBURY DR STE 201
IOWA CITY, IA 52245
Johnson County (319) 249-0307
MEGAN SUE GOSSE DNP
Nurse Practitioner (Psychiatric/Mental Health)
673 WESTBURY DR STE 201
IOWA CITY, IA 52245
Johnson County (319) 356-6352
FELICIA LUZ POPE LPC-IT
Counselor (Professional)
673 WESTBURY DR STE 201
IOWA CITY, IA 52245
Johnson County (319) 463-3308
MARGARET MARY BUTLER ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
673 WESTBURY DR STE 201
IOWA CITY, IA 52245
Johnson County (319) 249-0307
RAE C F NOBLE LMHC, LCPC, ATR
Counselor (Professional)
673 WESTBURY DR STE 201
IOWA CITY, IA 52245
Johnson County (319) 356-6352

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 Derrick Clark's NPI number?

The NPI number for Derrick Clark is 1609184324. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Derrick Clark located?

Derrick Clark practices at 673 Westbury Dr Ste 201, Iowa City, IA 52245. The listed phone number is (319) 356-6352.

What is Derrick Clark's specialty?

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

Is Derrick Clark enrolled in Medicare?

Yes. Derrick 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.

What insurance does Derrick Clark accept?

Health plans from HealthPartners, Medica, Oscar Insurance Company and UnitedHealthcare list Derrick 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 Derrick Clark was last updated on February 16, 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.