Mrs Darcie Rupert Clark, MS, LPCC, LCDCIII - Medicare Counselor in Dayton, OH

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Mrs Darcie Rupert Clark, MS, LPCC, LCDCIII is a medicare enrolled "Counselor - Mental Health" provider in Dayton, Ohio. Her current practice location is 11 W Monument Ave Ste 100, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 679-6301.

Mrs Darcie Rupert Clark is licensed to practice in Ohio (license number EO8331) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003149808.

Contact Information

Mrs Darcie Rupert Clark, MS, LPCC, LCDCIII
11 W Monument Ave Ste 100,
Dayton, OH 45402-1293
(937) 679-6301
(937) 630-4391

Map and Direction


Healthcare Provider's Profile

Full NameMrs Darcie Rupert Clark
GenderFemale
SpecialityCounselor - Mental Health
Location11 W Monument Ave Ste 100, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003149808
  • Provider Enumeration Date: 09/10/2009
  • Last Update Date: 12/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830563220
  • Enrollment ID: I20240212001472

Medical Identifiers

Medical identifiers for Mrs Darcie Rupert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003149808NPI-NPPES
0184758MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 991819 (Ohio)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) E08331-5 (Ohio)Secondary
101YP2500XCounselor - Professional EO8331 (Ohio)Secondary
101YM0800XCounselor - Mental Health EO8331 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Darcie Rupert Clark allows following entities to bill medicare on her behalf.
Entity NameDarcie R Clark Lpcc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669842258
PECOS PAC ID: 3779958947
Enrollment ID: O20240212001334

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Darcie Rupert Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Darcie Rupert Clark, MS, LPCC, LCDCIII
11 W Monument Ave Ste 100,
Dayton, OH 45402-1293

Ph: (937) 671-1589		Mrs Darcie Rupert Clark, MS, LPCC, LCDCIII
11 W Monument Ave Ste 100,
Dayton, OH 45402-1293

Ph: (937) 679-6301

Reviews and Comments


Counselor in Dayton, OH

Jane M Winch,
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Phone: 937-276-8333    Fax: 937-276-8339
Amy Michelle Monteith, LPCC
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Ashley H Hicks, PC
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Phone: 937-734-8333    Fax: 937-276-8269
Shea Kvachuk, LPC
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Phone: 937-734-8333    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.