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DARSHA DARLENE CLARK LPC
NPI 1669806840
Counselor - Mental Health in Fayetteville, GA

Active since August 24, 2013Opted out of Medicare · through Aug 14, 2027
154 RAINBOW WAY UNIT 115, FAYETTEVILLE, GA 30214(678) 235-5120(470) 264-7142 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darsha Darlene Clark Lpc NPPES

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

DARSHA DARLENE CLARK LPC (NPI 1669806840) is an individual mental health provider in Fayetteville, Georgia, licensed in Georgia (LPC007363) and active in the NPI registry since August 2013. She has opted out of Medicare through August 14, 2027.

NPPES Registry Identity

NPI1669806840
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDARSHA DARLENE CLARKCredential: LPC
Location Address154 RAINBOW WAY UNIT 115Fayetteville, GA 30214-3994
Mailing Address154 Rainbow Way Unit 115Fayetteville, GA 30214-3994 · (678) 235-5120 · Fax (470) 264-7142
Phone(678) 235-5120
Fax(470) 264-7142
Sole ProprietorYes
Enumeration DateAugust 24, 2013
Last NPPES UpdateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1669806840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC007363
154 RAINBOW WAY UNIT 115, Fayetteville, GA 30214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Darsha Darlene Clark Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2025 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2025
Opt-Out In Effect ThroughAugust 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Darsha Clark's NPI number?

The NPI number for Darsha Clark is 1669806840. It was assigned to this individual provider in the NPPES registry on August 24, 2013.

Where is Darsha Clark located?

Darsha Clark practices at 154 Rainbow Way Unit 115, Fayetteville, GA 30214. The listed phone number is (678) 235-5120.

What is Darsha Clark's specialty?

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

Is Darsha Clark enrolled in Medicare?

No. Darsha Clark has opted out of Medicare through August 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Darsha Clark accept?

Health plans from Alliant Health Plans, Inc., CareSource, Providence Health Plan and UnitedHealthcare list Darsha 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 Darsha Clark was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.