Camillia Clark, COUI-9541
NPI 1528840584 · Mental Health Counselor · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Camillia Clark, COUI-9541 is a Mental Health Counselor provider in Idaho Falls, ID (NPI 1528840584).
Provider details
- NPI number
- 1528840584
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- COUI-9541
- Sex
- Female
- Sole proprietor
- No
- License
- COUI-9541 (ID)
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
2 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
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Frequently asked questions
- What is Camillia Clark's NPI number?
- Camillia Clark's National Provider Identifier (NPI) is 1528840584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Camillia Clark's specialty?
- Camillia Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Camillia Clark located?
- Camillia Clark's practice location on file with NPPES is 452 D St, Idaho Falls, ID 83402-3531.
- What is Camillia Clark's phone number?
- The practice phone number listed in the NPPES registry for Camillia Clark is (208) 552-0355.
- Does Camillia Clark accept Medicare?
- Camillia Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Camillia Clark's NPI active?
- Yes — Camillia Clark's NPI (1528840584) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.