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MISS ANNIE CATHERINE CLARK LPC
NPI 1942997572
Counselor - Mental Health in Pounding Mill, VA

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
220 CLAY DR, POUNDING MILL, VA 24637(276) 963-3606 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Annie Catherine Clark Lpc NPPES

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

MISS ANNIE CATHERINE CLARK LPC (NPI 1942997572) is an individual mental health provider in Pounding Mill, Virginia, licensed in Virginia (0701012434) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942997572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS ANNIE CATHERINE CLARKCredential: LPC
Location Address220 CLAY DRPounding Mill, VA 24637-4320
Mailing Address220 Clay DrPounding Mill, VA 24637-4320 · (276) 963-3606
Phone(276) 963-3606
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1942997572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701012434
220 CLAY DR, Pounding Mill, VA 24637
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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 and accepts Medicare assignment

Miss Annie Catherine Clark Lpc 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 ID7113446238
PECOS Enrollment IDI20250521003735
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 11

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

JERRY DWAYNE STURGILL LPC
Counselor (Mental Health)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
HEATHER LYNCH LPC
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
ASHLEY N KEENE
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
MRS. KIMBERLY DAWN CARROLL MA
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
ROBIN JILLIAN LESTER
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
AUDRA BETH BROWN LPC
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (304) 887-8889
JENNIFER BROOKE SARVER LPC
Counselor (Mental Health)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
MRS. ANGELA SUE MEADE LPC
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606

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 Annie Clark's NPI number?

The NPI number for Annie Clark is 1942997572. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Annie Clark located?

Annie Clark practices at 220 Clay Dr, Pounding Mill, VA 24637. The listed phone number is (276) 963-3606.

What is Annie Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Annie Clark enrolled in Medicare?

Yes. Annie Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Annie Clark was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.