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

MS. Kimberly Sue Clark, QMHP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508210915

MS. Kimberly Sue Clark, QMHP is a Marriage and Family Therapist in Klamath Falls, Oregon. Qualified in 2020, 6 years ago. Works from 3 locations and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

905 Main St Ste 512
Klamath Falls, OR 97601-6062
Phone: (541) 591-9392
Fax: (541) 833-0934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 — (541) 883-3471
  • 1741 Austin St, Klamath Falls, OR 97603-4621 — (541) 851-6156

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence R6418 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17-04-02 (OR)
Counselor Taxonomy 101Y00000X

Record details

NPI number1508210915
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHP
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Klamath Falls