Andrew Clark · Mental Health Counselor

2600 W White River Blvd, Muncie, IN 47303-5263

Overview

Andrew Clark is a Mental Health Counselor practicing in Muncie, Indiana. The National Provider Identifier (NPI) is #1457206922, which was assigned on March 2, 2026, and the registration record was last updated on March 2, 2026. The practitioner's main practice location is at 2600 W White River Blvd, Muncie, IN 47303-5263; the contact telephone number is 7652867000. The primary taxonomy of Andrew Clark is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Andrew Clark is licensed to practice in the state of Indiana (#39005853A).

Provider Information

NPI 1457206922
Entity Type Individual
Provider Name ANDREW CLARK
Gender Male
Credential LMHC
Practice Address 2600 W White River Blvd
Muncie
IN 47303-5263
Practice Telephone 7652867000
Mailing Address Po Box 1676
Muncie
IN 47308-1676
Mailing Telephone 7652867000
Certification Date 2026-03-02
Enumeration Date 2026-03-02
Last Update Date 2026-03-02
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 6103300736
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name ANDREW KENNETH CLARK
Primary Specialty MENTAL HEALTH COUNSELOR
Address Po Box
Suite 1676
Muncie
IN 47308

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YM0800XCounselorMental Health39005853AIN

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Wendy Widom 1300 W Belmont Ave Ste 309, Chicago, IL 60657-3241Mental Health Counselor2026-06-06
Kaylah J Hosmer 411 W Broadway St, Mount Pleasant, MI 48858-2444Mental Health Counselor2026-06-06
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Danielle Pugliese 1324 Forest Ave, Staten Island, NY 10302-2044Mental Health Counselor2026-06-06
Lauren Scislowski 100 S Main St Ste 505, Wichita, KS 67202-3738Mental Health Counselor2026-06-06
Brittney King 75 E 800 N, Blanding, UT 84511-3558Mental Health Counselor2026-06-06
Dawn Insanalli 933 Mamaroneck Ave, Mamaroneck, NY 10543-1662Mental Health Counselor2026-06-06
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Location Information

Street Address 2600 W WHITE RIVER BLVD
City MUNCIE
State IN
Zip Code 47303-5263
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kathryn Campbell Feeney 2600 W White River Blvd, Muncie, IN 47303-5263Registered Nurse2018-05-09
Samantha Sontich 2600 W White River Blvd, Muncie, IN 47303-5263Pediatric Nurse Practitioner2023-07-18
Cheryl L. Westmoreland 2600 W White River Blvd, Suite 1, Muncie, IN 47303-9906Internal Medicine Physician2006-07-27
Lynn G Valena 2600 W White River Blvd, Muncie, IN 47303-5263Geriatric Medicine (Internal Medicine) Physician2005-12-14
Corie L Hess · Corie L Loiselle 2600 W White River Blvd, Muncie, IN 47303-5263Psychologist2018-10-10
Meetu Golla · Meetu Chauhan 2600 W White River Blvd, Muncie, IN 47303-5263Internal Medicine Physician2006-07-31
Open Door Health Services, Inc. 2600 W White River Blvd, Muncie, IN 47303-5263Federally Qualified Health Center (FQHC)2010-09-07
Hook-Superx LLC 2600 W White River Blvd, Muncie, IN 47303-5263Community/Retail Pharmacy2006-06-10

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Elisabeth Marriah Bernal 2525 W University Ave Suite 300, Muncie, IN 47303Family Nurse Practitioner2018-11-27
Afshan Jabeen 2525 W University Ave Ste 404, Muncie, IN 47303Student in an Organized Health Care Education/Training Program2010-09-16
Stephanie Beth Couch 1613 West Riverside Ave, Muncie, IN 47303Speech-Language Pathologist2022-09-23
Ashley Renee Russo 1615 W Riverside Ave, Muncie, IN 47303Student in an Organized Health Care Education/Training Program2022-07-13
Misbah Kanwal Iu Health Ball Memorial Hospital, 2625w., University Ave., Suite 502, Muncie, In 47303, Muncie, IN 47303Student in an Organized Health Care Education/Training Program2026-04-10
Jarius T Long 1715 N Granville Av Muncie In 47303, Muncie Ste C, Muncie, IN 47303Counselor2024-02-09
Jayne Waechter 3601 N Barr St., T-1530, Muncie, IN 47303Pharmacist2011-07-28
Suzanne Rae Reedy 2301 W. Jackson, Muncie, IN 47303General Practice Dentistry2012-08-31
Total Renal Care Inc 820 E Mcgalliard Rd, Muncie, IN 47303End-Stage Renal Disease (ESRD) Treatment Clinic/Center2015-03-11
Lauren Elizabeth Dunn 2401 W. University Avenue, Muncie, IN 47303Registered Dietitian2020-01-24
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.