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HEIDI S CLARK MA, CCC-SLP
NPI 1649520560
Speech-Language Pathologist in Laramie, WY

Active since September 18, 2012
1000 E UNIVERSITY AVE DEPT 3311, LARAMIE, WY 82071(307) 766-6426 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2020, Oct 23, 2020, Apr 21, 2017 (3 updates tracked since 2017).

About Heidi S Clark Ma, Ccc-slp NPPES

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

HEIDI S CLARK MA, CCC-SLP (NPI 1649520560) is an individual speech-language pathologist provider in Laramie, Wyoming and active in the NPI registry since September 2012. She maintains a secondary practice location in West Chester.

NPPES Registry Identity

NPI1649520560
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameHEIDI S CLARKCredential: MA, CCC-SLP
Location Address1000 E UNIVERSITY AVE DEPT 3311Laramie, WY 82071-2001
Mailing Address1000 E University Ave Dept 3311Laramie, WY 82071-2001 · (307) 766-6426
Phone(307) 766-6426
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1649520560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1000 E UNIVERSITY AVE DEPT 3311, Laramie, WY 82071
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Secondary Practice Location 1

Location 1638 Brandywine PkwyWest Chester, PA 19380-4278 · Phone (484) 787-2282

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi S Clark Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

University Of Wyoming Speech And Hearing Clinic
1.7 mi
Audiologist
2710 HARNEY ST STE 100
Laramie, WY 82072
  • Reassigned Medicare billing, Wyoming enrollment
  • Medicare enrollment name: University Of Wyoming
  • 74 clinicians in this Medicare group
NPI 1184760993 (307) 766-6426

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 12

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

TERESA JEAN GARCIA M.S.CCC-A
Audiologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-5579
MEAGAN LOU HIGBEE M.A. CCC-SLP
Speech-Language Pathologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 761-1041
BREANNA I KRUEGER PHD, CCC-SLP
Speech-Language Pathologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-6426
HANNAH JO YOUNG MS CCC-SLP
Speech-Language Pathologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-6426
ERIN BUSH
Speech-Language Pathologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-6426
AMY M WEAVER MS, CCC-A
Audiologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-5187
ERIN PAGE
Speech-Language Pathologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-6426
SUE TORNEY
Speech-Language Pathologist
1000 E UNIVERSITY AVE DEPT 3311
LARAMIE, WY 82071
Albany County (307) 766-6426

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 Heidi Clark's NPI number?

The NPI number for Heidi Clark is 1649520560. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Heidi Clark located?

Heidi Clark practices at 1000 E University Ave Dept 3311, Laramie, WY 82071. The listed phone number is (307) 766-6426.

What is Heidi Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Heidi Clark enrolled in Medicare?

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

Which organization bills Medicare for Heidi Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Clark reassigns Medicare benefits to University Of Wyoming Speech And Hearing Clinic (Laramie, WY). 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 Heidi Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Clark accept?

Health plans from Blue Cross Blue Shield of Wyoming list Heidi 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 Heidi Clark was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.