Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Caleb S Clark , LPCC

Counselor β€’ Tiffin, OH

Active NPI 1194400085 Individual Practitioner Male Practitioner
Practice location in NPPES

76 Ashwood Dr
Tiffin, OH 448831908

Call 4194489440 Location details and other listings
Medical Disclaimer

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

Practice Address

76 Ashwood Dr

Tiffin, OH 448831908

Telephone 4194489440
Organization at the Same NPPES Address or Phone
Firelands Regional Medical Center Facility NPI 1154372381

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Caleb Clark as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tiffin and Ohio

8 active clinicians are listed under Counselor with a practice address in Tiffin, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-10
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E.2607304

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.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2406123
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 10, 2026

Recorded as CALEB CLARK, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2026

Counselor (license number reported to NPPES: OH C.2406123)

πŸ‘€
Provider Name / Credentials Updated June 07, 2024

Recorded as CALEB CLARK, LPC

βœ…
NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2023

Registered at 76 ASHWOOD DR, TIFFIN, OH 448831908 (Tel: 4194489440)

πŸ“
Business Mailing Address (Initial Record) June 19, 2023

Registered at 1925 HAYES AVE, SANDUSKY, OH 448704737 (Tel: 4195575177)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2023

Recorded as CALEB CLARK, CT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: OH C.2304754-TRNE)

🟒
Initial NPI Registration & Enumeration June 19, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1194400085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2023
Last Update: July 10, 2026
Sole Proprietor: No

Mailing Address

1925 Hayes Ave

Sandusky, OH 448704737

Phone: 4195575177

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.