Ms Kimberly Sue Clark, QMHP in Klamath Falls, OR - Medicare Marriage And Family Therapist Provider

Ms Kimberly Sue Clark, QMHP is a medicare enrolled "Counselor" provider in Klamath Falls, Oregon. She graduated from healthcare school in 2020 and has 5 years of diverse experience with area of expertise as Marriage And Family Therapist. Her current practice location is 905 Main St Ste 512, Klamath Falls, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 591-9392.

Ms Kimberly Sue Clark is licensed to practice in Oregon (license number R6418) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1508210915.

Contact Information

	Ms Kimberly Sue Clark, QMHP
	905 Main St Ste 512, Klamath Falls, OR 97601-6062
	(541) 591-9392
	(541) 833-0934

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Sue Clark
Gender	Female
Speciality	Marriage And Family Therapist
Experience	5 Years
Location	905 Main St Ste 512, Klamath Falls, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kimberly Sue Clark graduated from medical school in 2020

NPI Data:

NPI Number: 1508210915
Provider Enumeration Date: 04/21/2016
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5395197198
Enrollment ID: I20240117002555

Medical Identifiers

Medical identifiers for Ms Kimberly Sue Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508210915	NPI	-	NPPES
1114058898	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	17-04-02 (Oregon)	Secondary
101Y00000X	Counselor	R6418 (Oregon)	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary

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. Ms Kimberly Sue 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 Address	Practice Location Address
Ms Kimberly Sue Clark, QMHP 1500 Addison St, Klamath Falls, OR 97601-2504 Ph: (541) 591-9392	Ms Kimberly Sue Clark, QMHP 905 Main St Ste 512, Klamath Falls, OR 97601-6062 Ph: (541) 591-9392

Reviews and Comments

Counselor in Klamath Falls, OR

Mrs. Brittania Nicole Welch, Counselor Medicare: Accepting Medicare Assignments Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338
Misty Watts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338
Gaylyn Gaddy Maurer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 Wild Plum Dr, Klamath Falls, OR 97601 Phone: 713-203-3744
Kyra Giffen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338
Krystal Lynn Henderson, CCMA, CPHT, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 2555 Main St, Klamath Falls, OR 97601 Phone: 541-883-2795 Fax: 541-883-8194
Kimberly Michelle Mccreary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030
Casey Locke, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2545 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-205-3459 Fax: 541-883-3471

Ms Kimberly Sue Clark, QMHP - Medicare Counselor in Klamath Falls, OR