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Dynetta Clark , LPC-S, LPC, LMHC

Counselor - Professional β€’ Austin, TX

Active NPI 1003125261 Individual Practitioner Female Practitioner
Practice location in NPPES

5900 Balcones Dr Ste 4000
Austin, TX 787314257

Call 5122003926 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

5900 Balcones Dr Ste 4000

Austin, TX 787314257

Telephone 5122003926
Organization at the Same NPPES Address or Phone
Western Blessed Llc Facility NPI 1518584515

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

NPI first issued

2010

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 Dynetta 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 Austin and Texas

1,565 active clinicians are listed under Counselor - Professional with a practice address in Austin, TX (21,166 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

2% of these 1,565 clinicians have the CMS telehealth indicator.

6% of these 1,565 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: 2026-01-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 88846
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: Texas Medical Board.
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.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Hunter Ashby , DO

Physical Medicine & Rehabilitation

NPI 1801385679

Doctor of Osteopathic Medicine (D.O.)

Deborah Atwood , CRNA, FNP-C

Nurse Practitioner - Family

NPI 1588737118

Certified Registered Nurse Anesthetist, Family Nurse Practitioner (Certified)

Christine Zethraus , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1639423452

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location January 11, 2026

Registered at 5900 BALCONES DR STE 4000, AUSTIN, TX 787314257 (Tel: 5122003926)

πŸ“
Updated Business Mailing Address January 11, 2026

Registered at 5900 BALCONES DR STE 4000, AUSTIN, TX 787314257 (Tel: 5122003926)

πŸ‘€
Provider Name / Credentials Updated January 11, 2026

Recorded as DYNETTA CLARK, LPC-S, LPC, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2026

Counselor (license number reported to NPPES: TX 88846)

βœ…
NPI Profile Active October 05, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 05, 2010

Registered at 805 LEONARD ST NE, GRAND RAPIDS, MI 495031138 (Tel: 6164512021)

πŸ“
Business Mailing Address (Initial Record) October 05, 2010

Registered at 1751 KENDALL ST SE, GRAND RAPIDS, MI 495083746 (Tel: 6164512021)

πŸ‘€
Provider Name / Credentials (Initial Record) October 05, 2010

Recorded as DYNETTA CLARK, MA, LLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2010

Psychologist (license number reported to NPPES: MI 6301012368)

🟒
Initial NPI Registration & Enumeration October 05, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003125261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2010
Last Update: January 21, 2026
Sole Proprietor: Yes

Other Counselor - Professionals in Austin

Healthcare providers in Austin

Mailing Address

5900 Balcones Dr Ste 4000

Austin, TX 787314257

Phone: 5122003926

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.