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MITCHELL CLARK
NPI 1841147865
Counselor - Professional in Rockford, IL

Active since March 11, 2026
2704 N MAIN ST, ROCKFORD, IL 61103(815) 391-1000 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitchell Clark NPPES

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

MITCHELL CLARK (NPI 1841147865) is an individual professional provider in Rockford, Illinois, licensed in Illinois (178.022813) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1841147865
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMITCHELL CLARK
Location Address2704 N MAIN STRockford, IL 61103-3112
Mailing Address3324 N Jackson RdPecatonica, IL 61063-9224
Phone(815) 391-1000
Sole ProprietorYes
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1841147865 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 IL · 178.022813
2704 N MAIN ST, Rockford, IL 61103
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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.

LINDA HAUGEN
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
ERIC RUSSELL ONSGARD MSW, LCSW
Social Worker (Clinical)
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (855) 751-4348
KAITLYN O OLSON
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
BETSY JOANNE DONOVAN LCSW, MSW
Social Worker (Clinical)
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 391-1000
ANDREW KRISCHEL
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
KAMI MINOR
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
NATALIE HANNA
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
LISA LANG-SCHACETT
Social Worker
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300

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 Mitchell Clark's NPI number?

The NPI number for Mitchell Clark is 1841147865. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Mitchell Clark located?

Mitchell Clark practices at 2704 N Main St, Rockford, IL 61103. The listed phone number is (815) 391-1000.

What is Mitchell Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Mitchell Clark was last updated on March 11, 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.