Sean Clark , LPC
Counselor - Professional β’ Beaverton, OR
6800 Sw 105th Ave Ste 101
Beaverton, OR 970085488
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
6800 Sw 105th Ave Ste 101
Beaverton, OR 970085488
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Newberg, OR. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2014
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, βDoes your provider accept Medicare as full payment?β
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 Beaverton and Oregon
100 active clinicians are listed under Counselor - Professional with a practice address in Beaverton, OR (2,559 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Beaverton
2% of these 100 clinicians have the CMS telehealth indicator.
13% of these 100 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 Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-04-17NUCC Taxonomy Code: 101YP2500X
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
113 E Hancock St
Newberg, OR 971322821
Phone: 9712001966
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Counselor (license number reported to NPPES: None C6270)
Counselor (license number reported to NPPES: OR C6270)
Registered at 6800 SW 105TH AVE STE 101, BEAVERTON, OR 970085488 (Tel: 9712001966)
Registered at 6800 SW 105TH AVE STE 101, BEAVERTON, OR 970085488 (Tel: 9712001966)
Recorded as SEAN CLARK, LPC
NPI status registered as active in NPPES database
Registered at 707 NE COUCH ST, PORTLAND, OR 972322922 (Tel: 5035424603)
Registered at 707 NE COUCH ST, PORTLAND, OR 972322922 (Tel: 5035424603)
Recorded as SEAN CLARK
Counselor
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
6800 Sw 105th Ave Ste 101
Beaverton, OR 970085488
Phone: 9712001966