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HAILEY CLARK
NPI 1841703428
Counselor - Professional in Bend, OR

Active since November 06, 2017PECOS Enrolled
63311 JAMISON ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Jun 25, 2025, Apr 4, 2023 and 1 more (4 updates tracked since 2017).

About Hailey Clark NPPES

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

HAILEY CLARK (NPI 1841703428) is an individual professional provider in Bend, Oregon, licensed in Oregon (C7353) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841703428
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHAILEY CLARK
Location Address63311 JAMISON STBend, OR 97703-8288
Mailing AddressPo Box 579Corvallis, OR 97339-0579 · (541) 766-6835 · Fax (541) 766-6186
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateNovember 6, 2017
Last NPPES UpdateApril 29, 20264 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1841703428 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 · C7353
63311 JAMISON ST, Bend, OR 97703
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1530 NW 27th StCorvallis, OR 97330-5223 · Phone (541) 766-6835 · Fax (541) 766-6186
Location 21880 NW Monterey Pines Dr Unit 7Bend, OR 97703-6744 · Phone (541) 896-1317

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Hailey Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deschutes County Oregon
2.6 mi
Public Health, State or Local
2577 NE COURTNEY DR
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 120 clinicians in this Medicare group
NPI 1023056017 (541) 322-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ERICA RAE WIMBISH
Case Manager/Care Coordinator
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
VICTORIA MAFFEO
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
MATTHEW JARED GRAFFENBERGER QMHA
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOSHUA JAMES GAGE
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHARLES JOSEPH DEZORT
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHRISTINA HOPE ROWE
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
NICOLE RENEE MCCLENDON LMSW
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOHN STEWART
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500

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 Hailey Clark's NPI number?

The NPI number for Hailey Clark is 1841703428. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Hailey Clark located?

Hailey Clark practices at 63311 Jamison St, Bend, OR 97703. The listed phone number is (541) 322-7500.

What is Hailey Clark's specialty?

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

Is Hailey Clark enrolled in Medicare?

Yes. Hailey Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hailey Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Clark reassigns Medicare benefits to Deschutes County Oregon (Bend, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hailey Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hailey Clark accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Hailey 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 Hailey Clark was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.