PHOEBE SAMANTHA CLARK MA, LPC, ATR.
NPI 1881050490
Counselor - Professional in Bend, OR
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
About PHOEBE CLARK
This page provides the complete NPI Profile along with additional information for Phoebe Clark, a provider established in Bend, Oregon with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1881050490 assigned on January 2016. The practitioner's primary taxonomy code is 101YP2500X with license number C5258 (OR). The provider is registered as an individual and her NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1881050490 Verify this NPI
- Provider Name
- PHOEBE SAMANTHA CLARK MA, LPC, ATR.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 19855 4TH ST STE 106 BEND, OR 97703
- Location Phone
- (541) 203-0970
- Mailing Address
- 19855 4TH ST STE 106 BEND, OR 97703
- Mailing Phone
- (541) 203-0970
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-12-2016
- Last Update Date
- 04-30-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C5258
- License State
- OR
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85338559 | MEDICAID (05) | NM |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
BEND, OR 97703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881050490, enumerated as an "individual" on January 12, 2016.
The provider is located at 19855 4TH ST STE 106 BEND, OR 97703 and the phone number is (541) 203-0970.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
