Candace Clark, PCC
NPI 1629327101ActiveIndividual· Counselor, Professional· Berea, OH
Counselor, Professional (PCC) with Phoenix Counseling Center LLC, practicing in Berea, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1629327101 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PCC |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2012 |
| Last updated in NPPES | Aug 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E.0600652 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Phoenix Counseling Center LLCNorth Ridgeville, OH · 6 clinicians
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