MANDY CLARK
NPI 1316144389
Counselor - Addiction (Substance Use Disorder) in Portland, OR
NPI Status: Active since July 02, 2007
Contact Information
1030 NE COUCH ST.
PORTLAND, OR
ZIP 97232
Phone: (503) 239-8400
Fax: (503) 239-8407
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- PECOS Enrolled
About MANDY CLARK
This page provides the complete NPI Profile along with additional information for Mandy Clark, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1316144389 assigned on July 2007. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1316144389
- Provider Name
- MANDY CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1030 NE COUCH ST. PORTLAND, OR 97232
- Location Phone
- (503) 239-8400
- Location Fax
- (503) 239-8407
- Mailing Address
- 1027 E. BURNSIDE ST. PORTLAND, OR 97214
- Mailing Phone
- (503) 239-8400
- Mailing Fax
- (503) 239-8407
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-02-2007
- Last Update Date
- 02-20-2015
- Code Navigator
A Substance Abuse or Addiction Counselor like Mandy Clark advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Individual and Family Network - EPO
- Silver 6200 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mandy Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MANDY CLARK
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 1 | 4 | 4 | 3 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 2 | 4 | 8 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 2 + 4 + 8 + 3 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1316144389 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154616993 | DOROTHY L. GREEN MSW Individual | Counselor (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1578954277 | NINA FRICK MSW, CADC CANDIDATE Individual | Social Worker (Clinical) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1447641154 | MS. KATE ANNE CHESNEY CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1184015885 | DANNY HARMON LPN Individual | Licensed Practical Nurse | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1457742181 | KALEN WALKINGTON RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1982095691 | SUE THAYER CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1902297526 | MARY MITCHEL DARNELL Individual | Specialist/Technologist, Pathology | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1346632916 | JEFFREY OTTENBACHER RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1770975351 | MS. JESSICA MICHAELS ASUNCION LPN Individual | Licensed Practical Nurse | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1558753731 | MRS. SARAH EVE PUSKARITS RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1720470529 | MS. DAMIANNA PURPLE-CROW CADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1265825897 | MRS. VERLENE ROSE BAKER Individual | Specialist/Technologist, Pathology | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1942693502 | MS. KASIE M CLOUD MSW, CSWA Individual | Social Worker | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1184017071 | MR. THOMAS EVERETTE IMIG C.D.P. Individual | Community Health Worker | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
| 1699169946 | DAVID POOLE CADCI PROVISIONAL Individual | Counselor (Addiction (Substance Use Disorder)) | 1030 NE COUCH ST. PORTLAND, OR 97232 (503) 239-8400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316144389, enumerated in the NPI registry as an "individual" on July 02, 2007
The provider is located at 1030 Ne Couch St. Portland, Or 97232 and the phone number is (503) 239-8400
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on July 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.