Kayla Ennette Clark, MS, LPC in Denton, TX - Medicare Counselor Provider

Kayla Ennette Clark, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Denton, Texas. Her current practice location is 2800 Shoreline Dr, Denton, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 222-2399.

Kayla Ennette Clark is licensed to practice in Texas (license number 83912) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093471708.

Contact Information

	Kayla Ennette Clark, MS, LPC
	2800 Shoreline Dr, Denton, TX 76210-0128
	(940) 222-2399
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Ennette Clark
Gender	Female
Speciality	Counselor - Professional
Location	2800 Shoreline Dr, Denton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093471708
Provider Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4688017700
Enrollment ID: I20240206002223

Medical Identifiers

Medical identifiers for Kayla Ennette Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093471708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	83912 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Ennette Clark allows following entities to bill medicare on her behalf.

Entity Name	North Pointe Psychiatry, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467686089 PECOS PAC ID: 6305997909 Enrollment ID: O20090622000301

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Ennette Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kayla Ennette Clark, MS, LPC 8604 Heather Ridge Dr, Plano, TX 75024-7393 Ph: (903) 217-7629	Kayla Ennette Clark, MS, LPC 2800 Shoreline Dr, Denton, TX 76210-0128 Ph: (940) 222-2399

Reviews and Comments

Counselor in Denton, TX

Cheryl Edwards Campbell, LCSW; LSOTP, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 914 N Locust St, Denton, TX 76201 Phone: 940-387-6250 Fax: 940-387-6274
Sally Elizabeth Spiller, LPC, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Emerson Ln, Denton, TX 76209 Phone: 940-631-7555
Jacob Tyler Doering, MS, LPC, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Fulton St Ste 200, Denton, TX 76201 Phone: 940-382-5328
Charles Combs, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 W Hickory St, #306, Denton, TX 76201 Phone: 940-565-1818 Fax: 940-387-8378
Jeremy David Glosser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 Teasley Ln, Apt #1824, Denton, TX 76205 Phone: 469-394-1568
Ashley Nicole Pope, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 N Carroll Blvd Ste 110, Denton, TX 76201 Phone: 469-607-0076
Mr. Timothy Leroy Anderson, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5528 Woodland Hills Rd., Denton, TX 76208 Phone: 940-230-3471 Fax: 940-382-9583

Kayla Ennette Clark, MS, LPC - Medicare Counselor in Denton, TX