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MR. SAMUEL S CLARK
NPI 1780571703
Counselor - Professional in Kansas City, MO

Active since June 23, 2025
1511 WESTPORT RD, KANSAS CITY, MO 64111(913) 349-1458 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, Jun 23, 2025 (2 updates tracked since 2025).

About Mr. Samuel S Clark NPPES

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

MR. SAMUEL S CLARK (NPI 1780571703) is an individual professional provider in Kansas City, Missouri and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1780571703
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SAMUEL S CLARK
Location Address1511 WESTPORT RDKansas City, MO 64111-4307
Mailing Address1942 Stewart Ave Apt G20Lawrence, KS 66046-2513 · (785) 410-4389
Phone(913) 349-1458
Sole ProprietorYes
Enumeration DateJune 23, 2025
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1780571703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1511 WESTPORT RD, Kansas City, MO 64111
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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 Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

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

KELSEY MCLAURINE
Counselor
1511 WESTPORT RD
KANSAS CITY, MO 64111
Jackson County (913) 703-6236
GREAT OAKS THERAPY CENTER
Counselor (Mental Health)
1511 WESTPORT RD
KANSAS CITY, MO 64111
Jackson County (913) 349-1458
KYLE GEBHART PLPC
Counselor
1511 WESTPORT RD
KANSAS CITY, MO 64111
Jackson County (816) 237-8648
DANIELLE FULKS
Marriage & Family Therapist
1511 WESTPORT RD
KANSAS CITY, MO 64111
Jackson County (913) 204-0253
MR. RYAN ANDREW MILLER LMFT
Marriage & Family Therapist
1511 WESTPORT RD
KANSAS CITY, MO 64111
Jackson County (913) 653-3638
ASHLEY A SUBUH LCMFT, LMFT
Marriage & Family Therapist
1511 WESTPORT RD
KANSAS CITY, MO 64111
Jackson County (816) 200-7266

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 Samuel Clark's NPI number?

The NPI number for Samuel Clark is 1780571703. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Samuel Clark located?

Samuel Clark practices at 1511 Westport Rd, Kansas City, MO 64111. The listed phone number is (913) 349-1458.

What is Samuel Clark's specialty?

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

What insurance does Samuel Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Samuel 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 Samuel Clark was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.