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

Kristina M Clark, LPC

Individual provider Mental Health Counselor · NPI 1083173702

Kristina M Clark, LPC is a Mental Health Counselor in Charleston, West Virginia. Qualified in 2014, 12 years ago. Practices with Prestera Center for Mental Health Services Inc, a 45-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
12
Licensed in
WV
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

511 Morris St
Charleston, WV 25301-1326
Phone: (304) 525-7851
Fax: (304) 525-1073
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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 2398 (WV)

Record details

NPI number1083173702
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 13, 2019
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prestera Center For Mental Health Services Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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