Brandi Richele Clark, LPC, CRC
NPI 1750175808ActiveIndividual· Counselor, Professional· Longview, TX
Counselor, Professional (LPC, CRC) in Longview, Texas, licensed in TX, with an NPI issued in April 2025. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1750175808 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, CRC |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2025 |
| Last updated in NPPES | Apr 5, 2025 |
| Certified by provider | Apr 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 18090 | TX |
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 (TX) |
|---|
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