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Gregory Scott Clark

Counselor - Professional β€’ Tyler, TX

Active NPI 1881055911 Individual Practitioner Male Practitioner
Practice location in NPPES

1121 E Southeast Loop 323 Ste 204
Tyler, TX 75701

Call 9035810933 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

1121 E Southeast Loop 323 Ste 204

Tyler, TX 75701

Telephone 9035810933
Fax 9035810933
Organization at the Same NPPES Address or Phone
Ron L. Roberts, M.s., P.c. Facility NPI 1598306581

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Buda, TX. 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.

NPI first issued

2016

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

Compared with the same specialty in Tyler and Texas

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

1.7% of these 175 clinicians have the CMS telehealth indicator.

8% of these 175 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 78242
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES TX 31769
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

Secondary Practice Locations

13207 Wright Rd

Buda, TX 78610

Phone: 5126978600

13207 Wright Rd

Buda, TX 78610

Phone: 5126978600

Clinicians Sharing This Practice Address or Phone

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

2 listed
NPI 1982716189

Doctor of Philosophy (Ph.D.)

Jana Sisk , LCSW

Social Worker - Clinical

NPI 1053551341

Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location October 24, 2019

Registered at 1121 E SOUTHEAST LOOP 323 STE 204, TYLER, TX 75701 (Tel: 9035810933)

πŸ“
Updated Business Mailing Address October 24, 2019

Registered at 1121 E SOUTHEAST LOOP 323 STE 204, TYLER, TX 757019660 (Tel: 9035810933)

βœ…
NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 17, 2016

Registered at 13207 WRIGHT RD, BUDA, TX 78610 (Tel: 5126978600)

πŸ“
Business Mailing Address (Initial Record) March 17, 2016

Registered at 13207 WRIGHT RD, BUDA, TX 78610

πŸ‘€
Provider Name / Credentials (Initial Record) March 17, 2016

Recorded as GREGORY CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Counselor (license number reported to NPPES: TX 31769)

🟒
Initial NPI Registration & Enumeration March 17, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881055911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2016
Last Update: October 24, 2019
Sole Proprietor: No

Mailing Address

1121 E Southeast Loop 323 Ste 204

Tyler, TX 757019660

Phone: 9035810933

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.