1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Counselor
  6. NPI Profile

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: July 26, 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 11880 NW Monterey Pines Dr Unit 7Bend, OR 97703-6744 · Phone (541) 896-1317
Location 2530 NW 27th StCorvallis, OR 97330-5223 · Phone (541) 766-6835 · Fax (541) 766-6186

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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Hailey Clark accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 with the weekly NPPES data releases published by CMS.