IndividualActive
Robin Clark, PCMHT
NPI 1720094048 · Mental Health Counselor · Vicksburg, MS
Robin Clark, PCMHT is a Mental Health Counselor provider in Vicksburg, MS (NPI 1720094048).
Provider details
- NPI number
- 1720094048
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PCMHT
- Sex
- Female
- Sole proprietor
- No
- License
- PH1410 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 638-4950
Street-level locationGet directions
Mailing address
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Robin Clark's NPI number?
- Robin Clark's National Provider Identifier (NPI) is 1720094048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robin Clark's specialty?
- Robin Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Robin Clark located?
- Robin Clark's practice location on file with NPPES is 3444 Wisconsin Ave, Vicksburg, MS 39180-5331.
- What is Robin Clark's phone number?
- The practice phone number listed in the NPPES registry for Robin Clark is (601) 638-0031.
- Is Robin Clark's NPI active?
- Yes — Robin Clark's NPI (1720094048) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.