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GREGORY SCOTT CLARK JR.
NPI 1881055911
Counselor - Professional in Tyler, TX

Active since March 17, 2016
1121 E SOUTHEAST LOOP 323 STE 204, TYLER, TX 75701(903) 581-0933(903) 581-0933 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2019, Mar 17, 2016 (2 updates tracked since 2016).

About Gregory Scott Clark Jr. NPPES

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

GREGORY SCOTT CLARK JR. (NPI 1881055911) is an individual professional provider in Tyler, Texas, licensed in Texas (78242) and active in the NPI registry since March 2016. He maintains a secondary practice location in Buda.

NPPES Registry Identity

NPI1881055911
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGREGORY SCOTT CLARK JR.
Location Address1121 E SOUTHEAST LOOP 323 STE 204Tyler, TX 75701
Mailing Address1121 E Southeast Loop 323 Ste 204Tyler, TX 75701-9660 · (903) 581-0933 · Fax (903) 581-0933
Phone(903) 581-0933
Fax(903) 581-0933
Sole ProprietorNo
Enumeration DateMarch 17, 2016
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
✔ NPI 1881055911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 78242
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 31769 (TX)
1121 E SOUTHEAST LOOP 323 STE 204, Tyler, TX 75701
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Secondary Practice Location 1

Location 113207 Wright RdBuda, TX 78610 · Phone (512) 697-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER SUDDUTH MS, LPC
Counselor (Mental Health)
1121 E SOUTHEAST LOOP 323 STE 204
TYLER, TX 75701
Smith County (903) 224-5262
ANA C BARNSON LPC-S
Counselor (Mental Health)
1121 E SOUTHEAST LOOP 323 STE 204
TYLER, TX 75701
Smith County (903) 309-3502
RON L. ROBERTS, M.S., P.C.
Counselor (Professional)
1121 E SOUTHEAST LOOP 323 STE 204
TYLER, TX 75701
Smith County (903) 581-0933

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 Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1881055911. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Gregory Clark located?

Gregory Clark practices at 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701. The listed phone number is (903) 581-0933.

What is Gregory Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Gregory Clark accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare and WellPoint list Gregory 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 Gregory Clark was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.