Kevin Clark
NPI 1245851104 · Addiction (Substance Use Disorder) Counselor · Fairfax, VA
Kevin Clark is a Addiction (Substance Use Disorder) Counselor provider in Fairfax, VA (NPI 1245851104).
Provider details
- NPI number
- 1245851104
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0710103244 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-01
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Frequently asked questions
- What is Kevin Clark's NPI number?
- Kevin Clark's National Provider Identifier (NPI) is 1245851104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Clark's specialty?
- Kevin Clark is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kevin Clark located?
- Kevin Clark's practice location on file with NPPES is 10615 Judicial Dr Ste 403, Fairfax, VA 22030-7501.
- What is Kevin Clark's phone number?
- The practice phone number listed in the NPPES registry for Kevin Clark is (703) 565-3783.
- Is Kevin Clark's NPI active?
- Yes — Kevin Clark's NPI (1245851104) is active in the NPPES registry as of the last update on 2021-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.