TIMOTHY CLARK
NPI 1831576271
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since May 06, 2015
4215 9TH AVE S, FARGO, ND 58103(701) 478-9554 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Clark NPPES

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

TIMOTHY CLARK (NPI 1831576271) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1744) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1831576271
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY CLARK
Location Address4215 9TH AVE SFargo, ND 58103-2018
Mailing Address4215 9th Ave SFargo, ND 58103-2018 · (701) 478-9554
Sole ProprietorNo
Enumeration DateMay 6, 2015
NPI 1831576271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in ND · 1744
4215 9TH AVE S, Fargo, ND 58103

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Substance Abuse Rehabilitation Facility
4215 9TH AVE S
FARGO, ND 58103
Social Worker
4215 9TH AVE S
FARGO, ND 58103

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1831576271. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Timothy Clark located?

Timothy Clark practices at 4215 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 478-9554.

What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Timothy Clark accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Timothy 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 Timothy Clark was last updated on May 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.