Active NPI 1780003574 Individual Practitioner Male Practitioner

Cory J Clark , LPC, LCDC, LMFTA

Counselor - Professional • Austin, TX

Professional Overview & Biography Verified Profile Summary

Cory Clark, LPC, LCDC, LMFTA is a registered healthcare professional specializing in Counselor - Professional in Austin, TX. Practice services are available at 403 E 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

403 E 15th St

Austin, TX 787011437

Telephone 5124800920

Associated Practice Facility / Clinic

🏢 Austin Travis County Mental Health And Mental Retardation Center Facility NPI 1750337259

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.8 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

1564 Specialists

Practicing in Austin, TX (21203 Statewide)

Telehealth Adoption Rate

2.0% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 67615

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License TX 11614

Definition to come...

Practice Associates & Co-Workers

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

28 Associated Practitioners

Cynthia Lewis , FNP-C

Nurse Practitioner - Family

NPI 1053081869

Family Nurse Practitioner (Certified)

Johann Hayashi

Registered Nurse

NPI 1114474814

Mary Smith , RN

Registered Nurse

NPI 1184193849

Registered Nurse

Onyinyechi Nwaiwu

Registered Nurse

NPI 1184325789

Jack Housworth , LCSW, LCDC

Social Worker - Clinical

NPI 1225319379

Licensed Clinical Social Worker, Licensed Chemical Dependency Counselor

Patrick Nolan , RN

Registered Nurse

NPI 1265071468

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2014

Registered at 403 E 15TH ST, AUSTIN, TX 787011437 (Tel: 5124800920)

📍

Updated Business Mailing Address April 09, 2014

Registered at 1430 COLLIER ST, AUSTIN, TX 787042911 (Tel: 5124724357)

👤

Provider Name / Credentials Updated April 09, 2014

Recorded as CORY CLARK, LPC, LCDC, LMFTA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2014

Counselor (License #11614 in TX)

🟢

Initial NPI Registration & Enumeration April 09, 2014

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: 1780003574

Entity Type:

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

Enumeration Date: April 09, 2014

Last Update: April 09, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1430 Collier St

Austin, TX 787042911

Phone: 5124724357

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.