MISS SAMANTHA JEANINE CLARK MS, COUNSELING PSYCH
NPI 1871154443
Marriage & Family Therapist in Bakersfield, CA

Q: What is Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1871154443. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on August 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2019PECOS Enrolled

2621 OSWELL ST STE 119, BAKERSFIELD, CA 93306(661) 868-6750 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Miss Samantha Jeanine Clark Ms, Counseling Psych NPPES

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

MISS SAMANTHA JEANINE CLARK MS, COUNSELING PSYCH (NPI 1871154443) is an individual marriage & family therapist in Bakersfield, California, licensed in California (999031549) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871154443

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMISS SAMANTHA JEANINE CLARKCredential: MS, COUNSELING PSYCH

Location Address2621 OSWELL ST STE 119Bakersfield, CA 93306-3172

Mailing Address2621 Oswell St Ste 119Bakersfield, CA 93306-3172 · (661) 868-6750

Phone(661) 868-6750

Sole ProprietorNo

Enumeration DateJune 25, 2019

Last NPPES UpdateAugust 13, 2020

NPPES CertifiedAugust 13, 2020

✔ NPI 1871154443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 999031549

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2621 OSWELL ST STE 119, Bakersfield, CA 93306

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Other Identifiers 1

Other999031549CA · Kern Behavioral Health And Recovery Services

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Samantha Jeanine Clark Ms, Counseling Psych 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.