Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881055911 Individual Practitioner Male Practitioner

Gregory Scott Clark

Counselor - Professional • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Gregory Clark is a registered healthcare professional specializing in Counselor - Professional in Tyler, TX. Practice services are available at 1121 E SOUTHEAST LOOP 323 STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1121 E Southeast Loop 323 Ste 204

Tyler, TX 75701

Telephone 9035810933
Fax 9035810933
Associated Practice Facility / Clinic
🏢 Ron L. Roberts, M.s., P.c. Facility NPI 1598306581

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
178 Specialists

Practicing in Tyler, TX (21203 Statewide)

Telehealth Adoption Rate
1.7% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 78242

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License TX 31769

Definition to come...

Secondary Practice Locations

13207 Wright Rd

Buda, TX 78610

Phone: 5126978600

13207 Wright Rd

Buda, TX 78610

Phone: 5126978600

Practice Associates & Co-Workers

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

10 Associated Practitioners
Karen Goforth , LPC

Counselor - Professional

NPI 1053423251

Licensed Professional Counselor

Jana Sisk , LCSW

Social Worker - Clinical

NPI 1053551341

Licensed Clinical Social Worker

Ron Roberts , MS

Counselor - Professional

NPI 1174635379

Master of Science

Carolyn Sowell , LPC

Counselor - Professional

NPI 1184736373

Licensed Professional Counselor

Paula Lundberg-Love , LPC

Counselor - Professional

NPI 1235241431

Licensed Professional Counselor

Joni Bryant , MA

Counselor - Mental Health

NPI 1285979484

Master of Arts

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 24, 2019

Registered at 1121 E SOUTHEAST LOOP 323 STE 204, TYLER, TX 75701 (Tel: 9035810933)

📍
Updated Business Mailing Address October 24, 2019

Registered at 1121 E SOUTHEAST LOOP 323 STE 204, TYLER, TX 757019660 (Tel: 9035810933)

NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2016

Registered at 13207 WRIGHT RD, BUDA, TX 78610 (Tel: 5126978600)

📍
Updated Business Mailing Address March 17, 2016

Registered at 13207 WRIGHT RD, BUDA, TX 78610

👤
Provider Name / Credentials Updated March 17, 2016

Recorded as GREGORY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Counselor (License #31769 in TX)

🟢
Initial NPI Registration & Enumeration March 17, 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: 1881055911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2016
Last Update: October 24, 2019
Sole Proprietor: No

Mailing Address

1121 E Southeast Loop 323 Ste 204

Tyler, TX 757019660

Phone: 9035810933

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.