Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881050490 Individual Practitioner Female Practitioner

Phoebe Samantha Clark , MA, LPC, ATR

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Phoebe Clark, MA, LPC, ATR is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 19855 4TH ST STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19855 4th St Ste 106

Bend, OR 977037814

Telephone 5412030970
Associated Practice Facility / Clinic
🏢 Hansen Counseling Ltd Facility NPI 1932628211

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
214 Specialists

Practicing in Bend, OR (2601 Statewide)

Telehealth Adoption Rate
4.7% 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: 2026-04-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C5258

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
85338559 (NM)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Rebecca Brown , LPC

Counselor - Professional

NPI 1255976379

Licensed Professional Counselor

NPI 1376915686

Licensed Professional Counselor

Randi Hansen , LCSW

Social Worker - Clinical

NPI 1578678702

Licensed Clinical Social Worker

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location April 30, 2026

Registered at 19855 4TH ST STE 106, BEND, OR 977037814 (Tel: 5412030970)

📍
Updated Business Mailing Address April 30, 2026

Registered at 19855 4TH ST STE 106, BEND, OR 977037814 (Tel: 5412030970)

📍
Updated Practice Location April 08, 2021

Registered at 66975 WEST ST, BEND, OR 977039283 (Tel: 5412030970)

📍
Updated Business Mailing Address April 08, 2021

Registered at 66975 WEST ST, BEND, OR 977039283 (Tel: 5412030970)

📍
Updated Practice Location September 06, 2019

Registered at 1103 NE ELM ST, PRINEVILLE, OR 977541664 (Tel: 5413235330)

📍
Updated Business Mailing Address September 06, 2019

Registered at 1103 NE ELM ST, PRINEVILLE, OR 977541664 (Tel: 5413235330)

👤
Provider Name / Credentials Updated September 06, 2019

Recorded as PHOEBE CLARK, MA, LPC, ATR.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2019

Counselor (License #C5258 in OR)

NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2016

Registered at 1524B BISHOPS LODGE RD, SANTA FE, NM 875060209 (Tel: 5059836158)

📍
Updated Business Mailing Address January 12, 2016

Registered at PO BOX 449, TESUQUE, NM 875740449 (Tel: 5059836158)

👤
Provider Name / Credentials Updated January 12, 2016

Recorded as PHOEBE CLARK, LSAA, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Counselor (License #0174891 in NM)

🟢
Initial NPI Registration & Enumeration January 12, 2016

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: 1881050490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2016
Last Update: April 30, 2026
Sole Proprietor: Yes

Mailing Address

19855 4th St Ste 106

Bend, OR 977037814

Phone: 5412030970

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.