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

Nathaniel P Clark, LCPC-C

Individual provider Professional Counselor · NPI 1891155792

Nathaniel P Clark, LCPC-C is a Mental Health Counselor in Portland, Maine. Qualified in 2012, 14 years ago. Practices with The Counseling Center of Nashua Inc, a 240-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
14
Licensed in
ME
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11 Baxter Blvd
Portland, ME 04101-1801
Phone: (207) 774-8700
Fax: (207) 422-7268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 155 Center St, Auburn, ME 04210-5229 — (207) 777-5888
  • 1155 Lisbon St, Lewiston, ME 04240-5025 — (207) 783-9141

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC5420 (ME)
Counselor Taxonomy 101Y00000X · Licence XL4658 (ME)

Record details

NPI number1891155792
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC-C
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address11 Baxter Blvd, Portland, ME 04101-1801

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Counseling Center Of Nashua Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland