What is Kelly Clark's NPI number?

Kelly Clark's National Provider Identifier (NPI) is 1942605852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Clark's specialty?

Kelly Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Kelly Clark located?

Kelly Clark's practice location on file with NPPES is 2301 E Chambers Dr, Booneville, MS 38829-8903.

What is Kelly Clark's phone number?

The practice phone number listed in the NPPES registry for Kelly Clark is (662) 728-3154.

Is Kelly Clark's NPI active?

Yes — Kelly Clark's NPI (1942605852) is active in the NPPES registry as of the last update on 2014-11-04.

IndividualActive

Kelly Clark

NPI 1942605852 · Mental Health Counselor · Booneville, MS

Kelly Clark is a Mental Health Counselor provider in Booneville, MS (NPI 1942605852).

Provider details

NPI number: 1942605852
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: BS DEGREE (MS)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense BS DEGREE (MS)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(75/100 index)

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

2301 E Chambers Dr

Booneville, MS 38829-8903

Phone: (662) 728-3154

Street-level locationGet directions

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Mailing address