Vicki Lyne Clark , MED
Counselor • Chardon, OH
12557 Ravenwood Dr
Chardon, OH 440249009
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
12557 Ravenwood Dr
Chardon, OH 440249009
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Chardon and Ohio
33 active clinicians are listed under Counselor with a practice address in Chardon, OH (4,098 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chardon
0% of these 33 clinicians have the CMS telehealth indicator.
6.1% of these 33 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
NUCC Taxonomy Code: 101YM0800X
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Certified Nurse Practitioner
Nurse Practitioner - Psychiatric/Mental Health
Master of Science in Nursing, APRNPHMNPBC
Social Worker - Clinical
Licensed Independent Social Worker
Social Worker - Clinical
Licensed Independent Social Worker
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Child & Adolescent Psychiatry
Career & Practice History
NPI enumerated November 27, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
7068 Constantine Ct
Mentor, OH 440605124
Phone: 4409426135