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Celestine Clark
NPI 1679131015 · Mental Health Counselor · Berwyn, IL
Celestine Clark is a Mental Health Counselor provider in Berwyn, IL (NPI 1679131015).
Provider details
- NPI number
- 1679131015
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 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
6415 Stanley Ave
Berwyn, IL 60402-3130
Phone: (708) 995-3893
Street-level locationGet directions
Mailing address
8453 S Wabash Ave
Chicago, IL 60619-5615
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2019-05-31
Frequently asked questions
- What is Celestine Clark's NPI number?
- Celestine Clark's National Provider Identifier (NPI) is 1679131015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Celestine Clark's specialty?
- Celestine Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Celestine Clark located?
- Celestine Clark's practice location on file with NPPES is 6415 Stanley Ave, Berwyn, IL 60402-3130.
- What is Celestine Clark's phone number?
- The practice phone number listed in the NPPES registry for Celestine Clark is (708) 995-3893.
- Is Celestine Clark's NPI active?
- Yes — Celestine Clark's NPI (1679131015) is active in the NPPES registry as of the last update on 2019-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.