Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811294176 Individual Practitioner Female Practitioner

Kendell Elaine Clark , MS, LPC, NCC

Counselor - Professional • Frederick, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kendell Clark, MS, LPC, NCC is a certified Counselor - Professional practicing in Frederick, OK. With approximately 14 years of clinical experience since completing medical education in 2012, Kendell Clark delivers high-quality medical care to the local community at 1118 NORTH 13TH STREET.

Kendell Clark is affiliated with Talkspace Provider Network Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1118 North 13th Street

Frederick, OK 735421605

Telephone 5803354860

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Frederick, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs Matches City Avg
City Avg: 14.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Frederick, OK (2681 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (14 Years) 14 Yrs
Frederick Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-07-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor

NUCC Taxonomy Code: 101Y00000X

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

Definition to come...

Hospital & Practice Group Affiliations

Talkspace Provider Network Pa

11100 E 96th St S, Tulsa, OK 741335473

Phone: 7025244162

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address July 17, 2024

Registered at 400 SUNNYBROOK DR, FREDERICK, OK 735424013 (Tel: 5803354860)

👤
Provider Name / Credentials Updated July 17, 2024

Recorded as KENDELL CLARK, MS, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Case Manager/Care Coordinator

NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2013

Registered at 1118 NORTH 13TH STREET, FREDERICK, OK 735421605 (Tel: 5803354860)

📍
Updated Business Mailing Address August 15, 2013

Registered at 1403 N 12TH ST, FREDERICK, OK 735422020 (Tel: 5803352323)

👤
Provider Name / Credentials Updated August 15, 2013

Recorded as KENDELL CLARK, MS, CCM, UNDER SUPER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Counselor

🟢
Initial NPI Registration & Enumeration February 23, 2011

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: 1811294176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2011
Last Update: July 17, 2024
Sole Proprietor: No

Mailing Address

400 Sunnybrook Dr

Frederick, OK 735424013

Phone: 5803354860

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.