MRS. DAWN CLARK LMHC
NPI 1730572397
Counselor - Mental Health in Fort Myers, FL
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Dawn Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Naples, FL 34103
- Reassigned Medicare billing, Florida, Georgia and North Carolina enrollments
- 26 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.
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.
Which organization bills Medicare for Dawn Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Clark reassigns Medicare benefits to Thriving Lane (Naples, FL). 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 Dawn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dawn Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 5 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.
# Mrs. Dawn Clark, LMHC · NPI 1730572397
Mental Health provider in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since March 6, 2015.
## Identity
- **NPI:** 1730572397 (Entity type: Individual)
- **Enumerated:** March 6, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH 12708 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17211 CALOOSA TRACE CIR, Fort Myers, FL 33967-2567
- **Phone:** (239) 218-6227
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thriving Lane (NPI 1376122515, Naples, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** March 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1730572397) · Data from the CMS NPPES public registry.