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JAMES M CLARK
NPI 1871174599
Counselor - Addiction (Substance Use Disorder) in Lexington, SC

Active since April 15, 2021PECOS Enrolled
1068 S LAKE DR, LEXINGTON, SC 29073(803) 726-9400 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James M Clark NPPES

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

JAMES M CLARK (NPI 1871174599) is an individual addiction (substance use disorder) provider in Lexington, South Carolina and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871174599
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAMES M CLARK
Location Address1068 S LAKE DRLexington, SC 29073-3720
Mailing Address2711 Colonial DrColumbia, SC 29203-6818
Phone(803) 726-9400
Sole ProprietorNo
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1871174599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1068 S LAKE DR, Lexington, SC 29073
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James M 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.

MS. MELISSA RALEY CATOE LMSW, CAC
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9326
EMILY RIVERS LMSW, CACP
Social Worker (Clinical)
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9424
ANN MARIE AMICK MACN
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9422
TROY WORKMAN CAC I
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9456
MELISSA DERY
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9425
MS. NANCY ANN BETTIS M.DIV. CACI
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9311
THOMAS ROBINSON
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9400
NANCY PILAT-RENNER
Counselor (Addiction (Substance Use Disorder))
1068 S LAKE DR
LEXINGTON, SC 29073
Lexington County (803) 726-9400

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 James Clark's NPI number?

The NPI number for James Clark is 1871174599. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is James Clark located?

James Clark practices at 1068 S Lake Dr, Lexington, SC 29073. The listed phone number is (803) 726-9400.

What is James Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is James Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Clark was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.