Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Denise Clark, LPC-MHSP

Individual provider Professional Counselor · NPI 1366056681

Courtney Denise Clark, LPC-MHSP is a Mental Health Counselor in Crossville, Tennessee. Qualified in 2012, 14 years ago. Practices with Brightside Medical PC, a 280-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

502 Mockingbird Dr
Crossville, TN 38555-5836
Phone: (931) 787-2551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC0000004337 (TN)

Record details

NPI number1366056681
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crossville