MRS. DAWN CLARK LMHC
NPI 1730572397
Counselor - Mental Health in Fort Myers, FL

Active since March 06, 2015PECOS EnrolledAccepts Medicare Assignment
17211 CALOOSA TRACE CIR, FORT MYERS, FL 33967(239) 218-6227 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Dawn Clark Lmhc NPPES

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

MRS. DAWN CLARK LMHC (NPI 1730572397) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH 12708) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1730572397
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DAWN CLARKCredential: LMHC
Location Address17211 CALOOSA TRACE CIRFort Myers, FL 33967-2567
Mailing Address17211 Caloosa Trace CirFort Myers, FL 33967-2567 · (239) 218-6227
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 6, 2015
NPI 1730572397 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 FL · MH 12708
17211 CALOOSA TRACE CIR, Fort Myers, FL 33967

Accepted 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

Mrs. Dawn Clark Lmhc 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 ID7911359526
PECOS Enrollment IDI20240119000697, I20240206004784, I20240415003112
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.

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 Dawn Clark's NPI number?

The NPI number for Dawn Clark is 1730572397. It was assigned to this individual provider in the NPPES registry on March 6, 2015.

Where is Dawn Clark located?

Dawn Clark practices at 17211 Caloosa Trace Cir, Fort Myers, FL 33967. The listed phone number is (239) 218-6227.

What is Dawn Clark's specialty?

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

Is Dawn Clark enrolled in Medicare?

Yes. Dawn 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 Dawn Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 3 other insurers list Dawn 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 Dawn Clark was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.