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KATHRYN ANNE CLARK MC, LPC
NPI 1821434317
Counselor - Professional in Gresham, OR

Active since May 11, 2013PECOS EnrolledAccepts Medicare Assignment
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030(503) 666-8832 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2026, Mar 7, 2024 (2 updates tracked since 2024).

About Kathryn Anne Clark Mc, Lpc NPPES

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

KATHRYN ANNE CLARK MC, LPC (NPI 1821434317) is an individual professional provider in Gresham, Oregon, licensed in Oregon (C4913) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821434317
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN ANNE CLARKCredential: MC, LPC
Location Address1700 NW CIVIC DR STE 310Gresham, OR 97030-3774
Mailing Address1700 Nw Civic Dr Ste 310Gresham, OR 97030-3774 · (503) 666-8832
Phone(503) 666-8832
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 11, 2013
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1821434317 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 OR · C4913
1700 NW CIVIC DR STE 310, Gresham, OR 97030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Kathryn Anne Clark Mc, Lpc 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 ID2769980994
PECOS Enrollment IDI20250807002934
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.

Other Providers at the Same Location NPPES 18

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

CHELSEA TRUJILLO LCSW
Social Worker (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
LINDSEY ROMO CSWA
Social Worker (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
JAMES PATRICK BOSSMANN M.D.
Psychiatry & Neurology (Psychiatry)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
CLAIRE TOLLES PSYD RESIDENT
Psychologist (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
HEIDI BERMEOSOLO LPC
Counselor (Mental Health)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
COURTNEY MONIQUE JESSIE LPC
Counselor (Professional)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
SHANTIKA GREEN LCSW
Counselor (Mental Health)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8835
CECILIA LYNN ZOELLER LCSW
Social Worker (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 699-4300

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 Kathryn Clark's NPI number?

The NPI number for Kathryn Clark is 1821434317. It was assigned to this individual provider in the NPPES registry on May 11, 2013.

Where is Kathryn Clark located?

Kathryn Clark practices at 1700 NW Civic Dr Ste 310, Gresham, OR 97030. The listed phone number is (503) 666-8832.

What is Kathryn Clark's specialty?

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

Is Kathryn Clark enrolled in Medicare?

Yes. Kathryn 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 Kathryn Clark accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kathryn 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 Kathryn Clark was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.