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Active NPI 1184790859 Individual Practitioner Female Practitioner

Vicki Lyne Clark , MED

Counselor • Chardon, OH

Professional Overview & Biography Verified Profile Summary

Vicki Clark, MED is a registered healthcare professional specializing in Counselor in Chardon, OH. Practice services are available at 12557 RAVENWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12557 Ravenwood Dr

Chardon, OH 440249009

Telephone 4402853568
Fax 4402854552
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chardon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Chardon, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH E 0002811

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH E 0002811

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kailyn Ratliff , LPN

Licensed Practical Nurse

NPI 1003371014

Licensed Practical Nurse

Audree Alick , LSW

Social Worker

NPI 1003590084

Licensed Social Worker

Lyndsay Pauler

Case Manager/Care Coordinator

NPI 1003748591
NPI 1013372176

Licensed Professional Counselor

Trisha Simonyi

Case Manager/Care Coordinator

NPI 1013652973
Vanessa Plautz

Peer Specialist

NPI 1013755495

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12557 RAVENWOOD DR, CHARDON, OH 440249009 (Tel: 4402853568)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7068 CONSTANTINE CT, MENTOR, OH 440605124 (Tel: 4409426135)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as VICKI CLARK, M.ED.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #E 0002811 in OH)

🟢
Initial NPI Registration & Enumeration November 27, 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: 1184790859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

7068 Constantine Ct

Mentor, OH 440605124

Phone: 4409426135

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

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