Active NPI 1194451575 Individual Practitioner Male Practitioner

Colby Clark

Peer Specialist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Colby Clark is a registered healthcare professional specializing in Peer Specialist in Tulsa, OK. Practice services are available at 4103 S YALE AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4103 S Yale Ave Ste B

Tulsa, OK 741356002

Telephone 9183827300

Fax 9183827302

Associated Practice Facility / Clinic

🏢 Creoks Mental Health Services Facility NPI 1841311289

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tulsa, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

944 Specialists

Practicing in Tulsa, OK (5280 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

CMS Verified: 2022-07-27

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kylee Williams

Licensed Practical Nurse

NPI 1003316175

Cedric Walker

Case Manager/Care Coordinator

NPI 1003579392

Nicole Scott

Case Manager/Care Coordinator

NPI 1003586140

Sophie Cummins

Case Manager/Care Coordinator

NPI 1003708942

Seth Nandeti

Counselor - Mental Health

NPI 1023676343

Daniel Valcarcel

Case Manager/Care Coordinator

NPI 1033918958

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 27, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2022

Registered at 4103 S YALE AVE STE B, TULSA, OK 741356002 (Tel: 9183827300)

📍

Updated Business Mailing Address July 27, 2022

Registered at 4103 S YALE AVE STE B, TULSA, OK 741356002 (Tel: 9183827300)

👤

Provider Name / Credentials Updated July 27, 2022

Recorded as COLBY CLARK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Peer Specialist

🟢

Initial NPI Registration & Enumeration July 27, 2022

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: 1194451575

Entity Type:

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

Enumeration Date: July 27, 2022

Last Update: July 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4103 S Yale Ave Ste B

Tulsa, OK 741356002

Phone: 9183827300

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.