Active NPI 1366689895 Individual Practitioner Female Practitioner

Lisa F Clark , LPCC

Counselor - Professional • Corbin, KY

Professional Overview & Biography Verified Profile Summary

Lisa Clark, LPCC is a registered healthcare professional specializing in Counselor - Professional in Corbin, KY. Practice services are available at 140 BRYAN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 Bryan Blvd

Corbin, KY 407012775

Telephone 6065232005

Fax 6065239704

Associated Practice Facility / Clinic

🏢 Barbourville Family Health Center Facility NPI 1073599056

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Corbin, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.2 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

22 Specialists

Practicing in Corbin, KY (2199 Statewide)

Telehealth Adoption Rate

9.1% 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 KY 247004

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100128550 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Richi Gray , NP

Nurse Practitioner

NPI 1073214540

Nurse Practitioner

Garrett Faulkner

Physician Assistant

NPI 1194471532

Roberta Pool , ARNP

Nurse Practitioner

NPI 1194704049

Advanced Registered Nurse Practitioner

Julie Monday , APRN

Nurse Practitioner

NPI 1467043414

Advanced Practice Registered Nurse

Crystal Prewitt , APRN

Nurse Practitioner

NPI 1588813083

Advanced Practice Registered Nurse

Shannon Bunch , APRN

Nurse Practitioner

NPI 1649576562

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Business Mailing Address March 12, 2019

Registered at PO BOX 1150, BARBOURVILLE, KY 409065150 (Tel: 6065469287)

📍

Updated Practice Location March 05, 2019

Registered at 140 BRYAN BLVD, CORBIN, KY 407012775 (Tel: 6065232005)

📍

Updated Business Mailing Address March 05, 2019

Registered at 140 BRYAN BLVD, CORBIN, KY 407012775 (Tel: 6065232005)

👤

Provider Name / Credentials Updated March 05, 2019

Recorded as LISA CLARK, LPCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2019

Counselor (License #247004 in KY)

✅

NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2015

Registered at 261 HOSPITAL DR, BARBOURVILLE, KY 409067356 (Tel: 6065463486)

📍

Updated Business Mailing Address June 02, 2015

Registered at 261 HOSPITAL DR, BARBOURVILLE, KY 409067356 (Tel: 6065463486)

👤

Provider Name / Credentials Updated June 02, 2015

Recorded as LISA CLARK, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Clinical Nurse Specialist (License #2075P in KY)

🟢

Initial NPI Registration & Enumeration January 21, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1366689895

Entity Type:

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

Enumeration Date: January 21, 2009

Last Update: March 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1150

Barbourville, KY 409065150

Phone: 6065469287

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.