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KATHY CLARK
NPI 1720404700
Counselor in Bentonville, AR

Active since March 13, 2014
602 N WALTON BLVD, BENTONVILLE, AR 72712(479) 464-1060(479) 271-6307 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Clark NPPES

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

KATHY CLARK (NPI 1720404700) is an individual counselor in Bentonville, Arkansas and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1720404700
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATHY CLARK
Location Address602 N WALTON BLVDBentonville, AR 72712-4576
Mailing Address602 N Walton BlvdBentonville, AR 72712-4576 · (479) 464-1060 · Fax (479) 271-6307
Phone(479) 464-1060
Fax(479) 271-6307
Sole ProprietorNo
Enumeration DateMarch 13, 2014
✔ NPI 1720404700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
602 N WALTON BLVD, Bentonville, AR 72712
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Other Providers at the Same Location NPPES 20

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

MARIA GOOSTREE
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-1060
ALEXANDRA SMITH
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-1060
BLANCA RAMOS
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-1060
JANA E JOHNSON
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-1060
PAYTON JOURNAGAN
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-1060
SANDRA BARNES
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (870) 394-4643
KEISHA KENNEDY PLMSW
Social Worker (Clinical)
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (870) 394-4643
KAILEY HUGHES
Counselor
602 N WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-1060

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 Kathy Clark's NPI number?

The NPI number for Kathy Clark is 1720404700. It was assigned to this individual provider in the NPPES registry on March 13, 2014.

Where is Kathy Clark located?

Kathy Clark practices at 602 N Walton Blvd, Bentonville, AR 72712. The listed phone number is (479) 464-1060.

What is Kathy Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kathy Clark was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.