Active NPI 1205913191 Individual Practitioner Female Practitioner

Connie Lynn Clark , MSED, LCPC

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Connie Clark, MSED, LCPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 955 S DURKIN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

955 S Durkin Dr
Ste. B

Springfield, IL 627041370

Telephone 2177531288

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.5 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.006792

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 180.006792

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License IL 180.006792

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 08, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 08, 2008

Registered at 955 S DURKIN DR, STE. B, SPRINGFIELD, IL 627041370 (Tel: 2177531288)

📍

Updated Business Mailing Address November 08, 2008

Registered at 955 S DURKIN DR, STE. B, SPRINGFIELD, IL 627041370 (Tel: 2177531288)

👤

Provider Name / Credentials Updated November 08, 2008

Recorded as CONNIE CLARK, M.S.ED., LCPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2008

Counselor (License #180.006792 in IL)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205913191

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 01, 2006

Last Update: November 08, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

955 S Durkin Dr, Ste. B

Springfield, IL 627041370

Phone: 2177531288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.