MRS. ANNA S CLARK MS
NPI 1902402290
Counselor - Professional in Old Town, ME

Active since December 10, 2020PECOS EnrolledAccepts Medicare Assignment
203 STILLWATER AVE, OLD TOWN, ME 04468(207) 404-8000 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2025, Jun 7, 2024, Dec 10, 2020 (3 updates tracked since 2020).

About Mrs. Anna S Clark Ms NPPES

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

MRS. ANNA S CLARK MS (NPI 1902402290) is an individual professional provider in Old Town, Maine, licensed in Maine (CC7638) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gallatin, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902402290
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANNA S CLARKCredential: MS
Location Address203 STILLWATER AVEOld Town, ME 04468-1665
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8100
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 10, 2020
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1902402290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in ME · CC7638 Licensed in TN · 6601
203 STILLWATER AVE, Old Town, ME 04468

Other Names 1

Former Name (1)Ms. Anna Skye Robinson Lpc-mhsp

Secondary Practice Location 1

Location 1273 Big Station Camp Blvd Apt 20103Gallatin, TN 37066-8665 · Phone (615) 266-3899

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Anna S Clark Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355852922
PECOS Enrollment IDI20250619001910
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

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

General Practice
203 STILLWATER AVE
OLD TOWN, ME 04468

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902402290, enumerated as an "individual" on December 10, 2020.

The provider is located at 203 STILLWATER AVE OLD TOWN, ME 04468 and the phone number is (207) 404-8000.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.