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Carla Christine Clark , MS CCC-SLP

Speech-Language Pathologist β€’ Garland, TX

Active NPI 1013205434 Individual Practitioner Female Practitioner
Practice location in NPPES

3200 Broadway Blvd, Suite 250
Garland, TX 750431573

Call 2144978709 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

3200 Broadway Blvd
Suite 250

Garland, TX 750431573

Telephone 2144978709
Organization at the Same NPPES Address or Phone
David B Campbell, Dds, Inc Facility NPI 1902017783

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

NPI first issued

2011

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

Enrolled in Medicare (PECOS)

Carla Clark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

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

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Garland and Texas

124 active clinicians are listed under Speech-Language Pathologist with a practice address in Garland, TX (17,078 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Garland

0% of these 124 clinicians have the CMS telehealth indicator.

1.6% of these 124 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: 2021-10-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 106104

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Npi
1013205434 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20120118000114

Enrollment State Jurisdiction

TX

PECOS Control ID

7517134422

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

12 Historical Events
πŸ“
Updated Business Mailing Address October 29, 2021

Registered at PO BOX 494563, GARLAND, TX 750494563 (Tel: 9722716000)

βœ…
NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address January 31, 2017

Registered at 6010 FAWN VALLEY LN, ROWLETT, TX 750893719 (Tel: 9722716000)

πŸ“
Updated Practice Location January 31, 2017

Registered at 3200 BROADWAY BLVD, SUITE 250, GARLAND, TX 750431573 (Tel: 2144978709)

πŸ‘€
Provider Name / Credentials Updated January 31, 2017

Recorded as CARLA CLARK, M.S. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Speech-Language Pathologist (license number reported to NPPES: TX 106104)

βœ…
NPI Profile Active November 17, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 17, 2011

Registered at 3200 BROADWAY BLVD, SUITE 250, GARLAND, TX 750431573 (Tel: 2144978709)

πŸ“
Business Mailing Address (Initial Record) November 17, 2011

Registered at 2804 LAKE VISTA DR, WYLIE, TX 750986402 (Tel: 2144978709)

πŸ‘€
Provider Name / Credentials (Initial Record) November 17, 2011

Recorded as CARLA CLARK, M.S. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2011

Speech-Language Pathologist (license number reported to NPPES: TX 106104)

🟒
Initial NPI Registration & Enumeration July 19, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013205434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2011
Last Update: October 29, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 494563

Garland, TX 750494563

Phone: 9722716000

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.