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

Dawn Clark

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528730652

Dawn Clark is a Mental Health Counselor in Rochester, Minnesota. Qualified in 2021, 5 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

401 16th St SE
Rochester, MN 55904-7973
Phone: (507) 516-0030
Fax: (507) 516-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304749 (MN)

Record details

NPI number1528730652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address902 2nd Ave Nw, Byron, MN 55920-1332

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rochester