Adeline Clark , LPC-S

Counselor - Professional • Georgetown, TX

Active NPI 1508184946 Individual Practitioner Female Practitioner

Practice location in NPPES

207 Susana Dr
Georgetown, TX 786288736

Call 4436212835 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.

Adeline Clark is listed in NPPES under Counselor - Professional.
NPI assigned on May 10, 2010; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

207 Susana Dr

Georgetown, TX 786288736

Telephone 4436212835

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Gaithersburg, MD. 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

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.

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

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?”

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

Compared with the same specialty in Georgetown and Texas

109 active clinicians are listed under Counselor - Professional with a practice address in Georgetown, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Georgetown

1.8% of these 109 clinicians have the CMS telehealth indicator.

11.9% of these 109 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

Self-certified to NPPES: 2020-12-28

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX LPCS70788

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

Medicaid ID

816700100 (MD)

Secondary Practice Locations

610 E Diamond Ave, Suite 100a

Gaithersburg, MD 208775321

Phone: 3018403200

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 28, 2020

Registered at 207 SUSANA DR, GEORGETOWN, TX 786288736 (Tel: 4436212835)

📍

Updated Business Mailing Address December 28, 2020

Registered at 207 SUSANA DR, GEORGETOWN, TX 786288736 (Tel: 4436212835)

👤

Provider Name / Credentials Updated December 28, 2020

Recorded as ADELINE CLARK, LPC-S

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2020

Counselor (license number reported to NPPES: TX LPCS70788)

✅

NPI Profile Active May 10, 2010

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) May 10, 2010

Registered at 610 E DIAMOND AVE, SUITE 100A, GAITHERSBURG, MD 208775321 (Tel: 3018403200)

📍

Business Mailing Address (Initial Record) May 10, 2010

Registered at 610 E DIAMOND AVE, SUITE 100A, GAITHERSBURG, MD 208775321 (Tel: 3018403200)

👤

Provider Name / Credentials (Initial Record) May 10, 2010

Recorded as ADELINE CLARK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2010

Counselor (license number reported to NPPES: MD LGP3490)

🟢

Initial NPI Registration & Enumeration May 10, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508184946

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 10, 2010

Last Update: December 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

207 Susana Dr

Georgetown, TX 786288736

Phone: 4436212835

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.