MS. KENDELL ELAINE CLARK MS, LPC, NCC
NPI 1811294176
Counselor - Professional in Frederick, OK

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment
1118 NORTH 13TH STREET, FREDERICK, OK 73542(580) 335-4860 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kendell Elaine Clark Ms, Lpc, Ncc NPPES

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

MS. KENDELL ELAINE CLARK MS, LPC, NCC (NPI 1811294176) is an individual professional provider in Frederick, Oklahoma and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811294176
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KENDELL ELAINE CLARKCredential: MS, LPC, NCC
Location Address1118 NORTH 13TH STREETFrederick, OK 73542-1605
Mailing Address400 Sunnybrook DrFrederick, OK 73542-4013 · (580) 335-4860
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 23, 2011
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
NPI 1811294176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1118 NORTH 13TH STREET, Frederick, OK 73542

Accepted 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

Ms. Kendell Elaine Clark Ms, Lpc, Ncc 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 ID5294272084
PECOS Enrollment IDI20240729004153
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 Kendell Clark's NPI number?

The NPI number for Kendell Clark is 1811294176. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Kendell Clark located?

Kendell Clark practices at 1118 North 13th Street, Frederick, OK 73542. The listed phone number is (580) 335-4860.

What is Kendell Clark's specialty?

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

Is Kendell Clark enrolled in Medicare?

Yes. Kendell 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 Kendell Clark accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica, Oscar Insurance Company and UnitedHealthcare list Kendell 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 Kendell Clark was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.