Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridget Blake Clark, LPC

Individual provider Mental Health Counselor · NPI 1245950633

Bridget Blake Clark, LPC is a Mental Health Counselor in Fairfield, Connecticut. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

121 Ann St
Fairfield, CT 06824-5801
Phone: (203) 919-8677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005693 (CT)

Record details

NPI number1245950633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address121 Ann St, Fairfield, CT 06824-5801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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