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

Nikole Clark, MS

Individual provider Mental Health Counselor · NPI 1578985552

Nikole Clark, MS is a Mental Health Counselor in Watertown, New York. Qualified in 1999, 27 years ago. Practices with Professional Medical Concierge Services PLLC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

210 Court St Ste 4
Watertown, NY 13601-4546
Phone: (315) 783-0193
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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 001882-1 (NY)

Record details

NPI number1578985552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJanuary 10, 2014
Last updated in NPPESJanuary 10, 2014
Mailing address325 N Michigan Ave, Watertown, NY 13601-2936

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Professional Medical Concierge Services Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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