KELLY CLARK
NPI 1871230565
Counselor in Calais, ME

Active since May 16, 2022
127 PALMER ST, CALAIS, ME 04619(207) 454-0775(207) 454-0232 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Clark NPPES

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

KELLY CLARK (NPI 1871230565) is an individual counselor in Calais, Maine and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1871230565
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY CLARK
Location Address127 PALMER STCalais, ME 04619-1300
Mailing Address180 Academy St Ste 3Presque Isle, ME 04769-3183 · (207) 554-2352 · Fax (207) 554-2351
Fax(207) 454-0232
Sole ProprietorNo
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
NPI 1871230565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
127 PALMER ST, Calais, ME 04619

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.

Counselor
127 PALMER ST
CALAIS, ME 04619
Social Worker (Clinical)
127 PALMER ST
CALAIS, ME 04619
Counselor (Addiction (Substance Use Disorder))
127 PALMER ST
CALAIS, ME 04619
Counselor (Mental Health)
127 PALMER ST
CALAIS, ME 04619
Counselor
127 PALMER ST
CALAIS, ME 04619
Counselor (Mental Health)
127 PALMER ST
CALAIS, ME 04619
Counselor
127 PALMER ST
CALAIS, ME 04619
Social Worker (Clinical)
127 PALMER ST
CALAIS, ME 04619

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 Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1871230565. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Kelly Clark located?

Kelly Clark practices at 127 Palmer St, Calais, ME 04619. The listed phone number is (207) 454-0775.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.