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VICKIE DIANE CLARK
NPI 1760765374
Counselor in Midwest City, OK

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment
10905 NE 10TH ST, MIDWEST CITY, OK 73130(918) 791-1995 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vickie Diane Clark NPPES

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

VICKIE DIANE CLARK (NPI 1760765374) is an individual counselor in Midwest City, Oklahoma and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1760765374
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameVICKIE DIANE CLARK
Location Address10905 NE 10TH STMidwest City, OK 73130-2209
Mailing Address10905 Nw 10th St.Midwest City, OK 74344 · (918) 791-1995 · Fax (405) 769-7572
Phone(918) 791-1995
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 21, 2011
✔ NPI 1760765374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
10905 NE 10TH ST, Midwest City, OK 73130
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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 Oklahoma, Medica, Mending Health and more.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

Vickie Diane Clark 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 ID6608224753
PECOS Enrollment IDI20231129003074
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 Vickie Clark's NPI number?

The NPI number for Vickie Clark is 1760765374. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Vickie Clark located?

Vickie Clark practices at 10905 NE 10th St, Midwest City, OK 73130. The listed phone number is (918) 791-1995.

What is Vickie Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Vickie Clark enrolled in Medicare?

Yes. Vickie 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 Vickie Clark accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Vickie 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 Vickie Clark was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.