Individual provider

Nikole Clark, MS

Mental Health Counselor Medicare enrolled

Nikole Clark, MS is a Mental Health Counselor in Watertown, NY, registered under NPI 1578985552. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 210 COURT ST STE 4, Watertown, NY 13601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

210 COURT ST STE 4, Watertown, NY 13601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
001882-1 NY Mental Health Counselor primary

This provider holds licence 001882-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
5294223350
Enrollment ID
I20251021002684

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1578985552 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 10, 2014
Last updatedJan 10, 2014
StatusActive
Sole proprietorYes
CredentialMS
Practice address 210 COURT ST STE 4
Watertown, NY 13601
(315) 783-0193
Mailing address 325 N MICHIGAN AVE
Watertown, NY 13601
This record was last updated on Jan 10, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1578985552 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 7 8 9 8 5 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 5 8 9 8 1 5 1

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1578985552?
NPI 1578985552 is the National Provider Identifier assigned to Nikole Clark, MS in Watertown, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Nikole Clark, MS?
The phone number on file with NPPES is (315) 783-0193, last updated Jan 10, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nikole Clark, MS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1578985552 a valid number?
Yes. 1578985552 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.