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

Nicklaus Clark, LPC, LMHC

Individual provider Mental Health Counselor · NPI 1407251408

Nicklaus Clark, LPC, LMHC is a Mental Health Counselor in Gresham, Oregon. Licensed in Missouri, Oregon and Washington. Registered with an NPI since 2014.

Licensed in
MO, OR, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1700 NW Civic Dr Ste 310
Gresham, OR 97030-3770
Phone: (503) 233-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C3550 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH60497951 (WA)
Professional Counselor Taxonomy 101YP2500X · Licence 2012024654 (MO)

Record details

NPI number1407251408
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LMHC
Sole proprietorNo
NPI enumeratedNovember 3, 2014
Last updated in NPPESFebruary 4, 2016

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