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MRS. LECRETIA WILLIAMS CLARK M.ED, LPC
NPI 1821484494
Counselor - Mental Health in Hernando, MS

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
2705 HIGHWAY 51 S, HERNANDO, MS 38632(662) 449-1971(662) 449-1974 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lecretia Williams Clark M.ed, Lpc NPPES

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

MRS. LECRETIA WILLIAMS CLARK M.ED, LPC (NPI 1821484494) is an individual mental health provider in Hernando, Mississippi, licensed in Mississippi (3389) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821484494
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LECRETIA WILLIAMS CLARKCredential: M.ED, LPC
Location Address2705 HIGHWAY 51 SHernando, MS 38632-2634
Mailing Address303 N Madison StCorinth, MS 38834-5072 · (662) 286-9883 · Fax (662) 284-9836
Phone(662) 449-1971
Fax(662) 449-1974
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 10, 2015
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1821484494 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 MS · 3389
2705 HIGHWAY 51 S, Hernando, MS 38632
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

Mrs. Lecretia Williams Clark M.ed, 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 ID2567811656
PECOS Enrollment IDI20240722001875
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 20

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

PAUL MARTY FORSYTHE
Counselor (Mental Health)
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1971
DIAMOND SANTIAGO FAIRLEY
Counselor (Mental Health)
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1808
DAWN M. FLANAGAN
Counselor (Mental Health)
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1971
AALIYAH TURNER
Case Manager/Care Coordinator
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1971
NGECHE GANG
Social Worker
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1972
ROSALYN DANIELS
Counselor (Mental Health)
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1971
DR. CLAIRE BOSTWICK HARRIS PHARM D
Pharmacist
2705 HIGHWAY 51 S, REGION IV DESOTO COUNTY PHARMACY
HERNANDO, MS 38632
Desoto County (662) 449-4025
ANDREA SUGGS REGISTERED NURSE
Registered Nurse (Psychiatric/Mental Health)
2705 HIGHWAY 51 S
HERNANDO, MS 38632
Desoto County (662) 449-1971

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 Lecretia Clark's NPI number?

The NPI number for Lecretia Clark is 1821484494. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Lecretia Clark located?

Lecretia Clark practices at 2705 Highway 51 S, Hernando, MS 38632. The listed phone number is (662) 449-1971.

What is Lecretia Clark's specialty?

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

Is Lecretia Clark enrolled in Medicare?

Yes. Lecretia 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 Lecretia Clark accept?

Health plans from Oscar Health Plan, Inc. list Lecretia 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 Lecretia Clark was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.