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

Candace Clark, PCC

Individual provider Professional Counselor · NPI 1629327101

Candace Clark, PCC is a Mental Health Counselor in Berea, Ohio. Qualified in 2007, 19 years ago. Practices with Phoenix Counseling Center LLC, a 6-clinician group and offers telehealth. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2012

Practice location Address checks out

202 E Bagley Rd
Berea, OH 44017-2058
Phone: (800) 234-2006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0600652 (OH)

Record details

NPI number1629327101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCC
Sole proprietorYes
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 30, 2012
Mailing address202 East Bagley Road, Berea, OH 44017-2058

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Phoenix Counseling Center Llc — 6 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Berea