Julie D. Clark, PHD
NPI 1487084968ActiveIndividual· Counselor, Mental Health· Ponca City, OK
Counselor, Mental Health (PHD) in Ponca City, Oklahoma, with an NPI issued in November 2013. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1487084968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 19, 2013 |
| Last updated in NPPES | Apr 19, 2025 |
| Certified by provider | Apr 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OK) |
|---|
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