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Tavaraes Clark
NPI 1659839876 · Counselor · Columbus, MS
Tavaraes Clark is a Counselor provider in Columbus, MS (NPI 1659839876).
Provider details
- NPI number
- 1659839876
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
428 24th Ave N
Columbus, MS 39705-1945
Phone: (662) 241-7097
Street-level locationGet directions
Mailing address
860 E River Pl Ste 100
Jackson, MS 39202-3442
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2019-03-06
Frequently asked questions
- What is Tavaraes Clark's NPI number?
- Tavaraes Clark's National Provider Identifier (NPI) is 1659839876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tavaraes Clark's specialty?
- Tavaraes Clark is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Tavaraes Clark located?
- Tavaraes Clark's practice location on file with NPPES is 428 24th Ave N, Columbus, MS 39705-1945.
- What is Tavaraes Clark's phone number?
- The practice phone number listed in the NPPES registry for Tavaraes Clark is (662) 241-7097.
- Is Tavaraes Clark's NPI active?
- Yes — Tavaraes Clark's NPI (1659839876) is active in the NPPES registry as of the last update on 2019-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.