MRS. ALLISON RAE CLARK LPCC
NPI 1861966616
Counselor - Mental Health in Cleveland, OH
About Mrs. Allison Rae Clark Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALLISON RAE CLARK LPCC (NPI 1861966616) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (E.2202995) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Allison Rae Clark Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Allison Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 713 clinicians in this Medicare group
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.
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 Allison Clark's NPI number?
The NPI number for Allison Clark is 1861966616. It was assigned to this individual provider in the NPPES registry on January 15, 2019.
Where is Allison Clark located?
Allison Clark practices at 22001 Fairmount Blvd, Cleveland, OH 44118. The listed phone number is (216) 932-8624.
What is Allison Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Allison Clark enrolled in Medicare?
Yes. Allison Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Allison Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Clark reassigns Medicare benefits to Psychological & Behavioral Consultants, LLC (Beachwood, OH). 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 Allison Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Clark accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Allison 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 Allison Clark was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Allison Rae Clark, LPCC · NPI 1861966616
Mental Health provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since January 15, 2019.
## Identity
- **NPI:** 1861966616 (Entity type: Individual)
- **Enumerated:** January 15, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E.2202995 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 22001 FAIRMOUNT BLVD, Cleveland, OH 44118-4819
- **Phone:** (216) 932-8624
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Psychological & Behavioral Consultants, LLC (NPI 1811915713, Beachwood, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861966616) · Data from the CMS NPPES public registry.