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

Kelly Susann Clark

Individual provider Mental Health Counselor · NPI 1467186767

Kelly Susann Clark is a Mental Health Counselor in Newport, Oregon. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

36 SW Nye St
Newport, OR 97365-3821
Phone: (541) 265-0445
Show map & directions

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

Additional practice locations (1)

  • 51 Sw Lee St, Newport, OR 97365-3823 — (541) 574-5960

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1467186767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

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