RANDIE CLARK LMHC
NPI 1750776548
Counselor - Mental Health in Seattle, WA

Active since March 30, 2015Opted out of Medicare · through Jan 1, 2028
2711 E MADISON ST, 204, SEATTLE, WA 98112(206) 856-2001 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randie Clark Lmhc NPPES

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

RANDIE CLARK LMHC (NPI 1750776548) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH60503884) and active in the NPI registry since March 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1750776548
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRANDIE CLARKCredential: LMHC
Location Address2711 E MADISON ST, 204Seattle, WA 98112-4749
Mailing Address520 N 77th StSeattle, WA 98103-4704 · (206) 856-2001
Sole ProprietorYes
Enumeration DateMarch 30, 2015
NPI 1750776548 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 WA · LH60503884
2711 E MADISON ST, Seattle, WA 98112

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Randie Clark Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
2711 E MADISON ST, SUITE 206
SEATTLE, WA 98112
Counselor (Mental Health)
2711 E MADISON ST, SUITE 204A
SEATTLE, WA 98112
Counselor (Mental Health)
2711 E MADISON ST
SEATTLE, WA 98112
Counselor (Mental Health)
2711 E MADISON ST, SUITE 204A
SEATTLE, WA 98112
Social Worker (Clinical)
2711 E MADISON ST, SUITE 206
SEATTLE, WA 98112
Counselor (Mental Health)
2711 E MADISON ST
SEATTLE, WA 98112
Counselor (Mental Health)
2711 E MADISON ST, SUITE 200
SEATTLE, WA 98112
Counselor (Mental Health)
2711 E MADISON ST, SUITE 204
SEATTLE, WA 98112

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 Randie Clark's NPI number?

The NPI number for Randie Clark is 1750776548. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Randie Clark located?

Randie Clark practices at 2711 E Madison St 204, Seattle, WA 98112. The listed phone number is (206) 856-2001.

What is Randie Clark's specialty?

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

Is Randie Clark enrolled in Medicare?

No. Randie Clark has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Randie Clark accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Randie 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 Randie Clark was last updated on March 30, 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.