MS. NATASHA L CLARK LCPC
NPI 1730426370
Counselor - Professional in Glendale, WI
About Ms. Natasha L Clark Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NATASHA L CLARK LCPC (NPI 1730426370) is an individual professional provider in Glendale, Wisconsin, licensed in Wisconsin (11891-125) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Natasha L Clark Lcpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Natasha Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois and Wisconsin enrollments
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 clinicians in this Medicare group
St Charles, IL 60174
- Reassigned Medicare billing, Illinois enrollment
- 14 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.
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.
MILWAUKEE, WI 53217
MILWAUKEE, WI 53217
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 Natasha Clark's NPI number?
The NPI number for Natasha Clark is 1730426370. It was assigned to this individual provider in the NPPES registry on January 15, 2013.
Where is Natasha Clark located?
Natasha Clark practices at 6980 N Port Washington Rd, Glendale, WI 53217. The listed phone number is (414) 773-4312.
What is Natasha Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Natasha Clark enrolled in Medicare?
Yes. Natasha 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.
Which organizations bill Medicare for Natasha Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Natasha Clark reassigns Medicare benefits to 2 organizations: Rockford Psychiatric Medical Services, S.C. (Rockford, IL) and Tricity Family Services (St Charles, IL). Each 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 Natasha Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Natasha Clark accept?
Health plans from Medica, MercyCare, MercyCare Health Plans, Quartz and UnitedHealthcare list Natasha 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 Natasha Clark was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Ms. Natasha L Clark, LCPC · NPI 1730426370
Professional provider in Glendale, Wisconsin. Individual provider, active in the CMS NPPES registry since January 15, 2013.
## Identity
- **NPI:** 1730426370 (Entity type: Individual)
- **Enumerated:** January 15, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11891-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6980 N PORT WASHINGTON RD, Glendale, WI 53217-3900
- **Phone:** (414) 773-4312 · **Fax:** (414) 247-4082
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL); Tricity Family Services (NPI 1255873519, St Charles, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730426370) · Data from the CMS NPPES public registry.