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MRS. BRANDI RICHELE CLARK LPC, CRC
NPI 1750175808
Counselor - Professional in Longview, TX

Active since April 05, 2025PECOS Enrolled
265 SWEETHEART LN, LONGVIEW, TX 75605(903) 926-2801 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brandi Richele Clark Lpc, Crc NPPES

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

MRS. BRANDI RICHELE CLARK LPC, CRC (NPI 1750175808) is an individual professional provider in Longview, Texas, licensed in Texas (18090) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1750175808
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. BRANDI RICHELE CLARKCredential: LPC, CRC
Location Address265 SWEETHEART LNLongview, TX 75605-6894
Mailing Address265 Sweetheart LnLongview, TX 75605-6894 · (903) 926-2801
Phone(903) 926-2801
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 5, 2025
NPPES CertifiedApril 5, 2025
✔ NPI 1750175808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 18090
265 SWEETHEART LN, Longview, TX 75605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Brandi Richele Clark Lpc, Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789186065
PECOS Enrollment IDI20250905002807
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 Brandi Clark's NPI number?

The NPI number for Brandi Clark is 1750175808. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Brandi Clark located?

Brandi Clark practices at 265 Sweetheart Ln, Longview, TX 75605. The listed phone number is (903) 926-2801.

What is Brandi Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brandi Clark enrolled in Medicare?

Yes. Brandi Clark is registered in the Medicare PECOS enrollment system.

What insurance does Brandi Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Brandi 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 Brandi Clark was last updated on April 5, 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.