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TANISHA LEJON CLARK
NPI 1952691859
Counselor - Mental Health in Inglewood, CA

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
215 E REGENT ST APT 214, INGLEWOOD, CA 90301(323) 898-3166 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2025, Apr 26, 2021, Feb 8, 2021 and 3 more (6 updates tracked since 2018).

About Tanisha Lejon Clark NPPES

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

TANISHA LEJON CLARK (NPI 1952691859) is an individual mental health provider in Inglewood, California, licensed in California (119574) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952691859
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANISHA LEJON CLARK
Location Address215 E REGENT ST APT 214Inglewood, CA 90301-1822
Mailing Address5616 Arch Crest DrLos Angeles, CA 90043-2043 · (323) 898-3166
Phone(323) 898-3166
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2011
Last NPPES UpdateDecember 6, 20256 updates tracked since enumeration
NPPES CertifiedDecember 6, 2025
✔ NPI 1952691859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 119574
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 11240 (LA)
215 E REGENT ST APT 214, Inglewood, CA 90301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanisha Lejon Clark 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 ID3173839545
PECOS Enrollment IDI20251229000286
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.

Medicare Billing Reassignment

Medicare enrollment records show Tanisha Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
306 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tanisha Clark's NPI number?

The NPI number for Tanisha Clark is 1952691859. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Tanisha Clark located?

Tanisha Clark practices at 215 E Regent St Apt 214, Inglewood, CA 90301. The listed phone number is (323) 898-3166.

What is Tanisha Clark's specialty?

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

Is Tanisha Clark enrolled in Medicare?

Yes. Tanisha 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.

Which organization bills Medicare for Tanisha Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanisha Clark reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanisha Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tanisha Clark was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.