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

Derrick Rogers Clark, LPC

Individual provider Counselor · NPI 1609184324

Derrick Rogers Clark, LPC is a Mental Health Counselor in Iowa City, Iowa. Qualified in 2010, 16 years ago. Practices with Psychiatric Associates of Iowa, PC, a 54-clinician group and accepts Medicare assignment. Licensed in Iowa and Missouri.

Years since qualifying
16
Licensed in
IA, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

673 Westbury Dr Ste 201
Iowa City, IA 52245-2732
Phone: (319) 356-6352
Fax: (319) 358-2367
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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 072850 (IA)
Counselor Taxonomy 101Y00000X · Licence 2010031959 (MO)

Record details

NPI number1609184324
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 15, 2010
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Psychiatric Associates Of Iowa, Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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