Nicklaus Clark, LPC, LMHC
NPI 1407251408 · Professional Counselor · Gresham, OR
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicklaus Clark, LPC, LMHC is a Professional Counselor provider in Gresham, OR (NPI 1407251408).
Provider details
- NPI number
- 1407251408
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, LMHC
- Sex
- Male
- Sole proprietor
- No
- License
- LH60497951 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
11 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
- 2014-11-03
- Last updated
- 2016-02-04
Frequently asked questions
- What is Nicklaus Clark's NPI number?
- Nicklaus Clark's National Provider Identifier (NPI) is 1407251408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicklaus Clark's specialty?
- Nicklaus Clark is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicklaus Clark located?
- Nicklaus Clark's practice location on file with NPPES is 1700 Nw Civic Dr, Gresham, OR 97030-3770.
- What is Nicklaus Clark's phone number?
- The practice phone number listed in the NPPES registry for Nicklaus Clark is (503) 233-5405.
- Does Nicklaus Clark accept Medicare?
- Nicklaus Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicklaus Clark's NPI active?
- Yes — Nicklaus Clark's NPI (1407251408) is active in the NPPES registry as of the last update on 2016-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.