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

Robert Clark

Individual provider Professional Counselor · NPI 1457744609

Robert Clark is a Mental Health Counselor in Scranton, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Integrative Counseling Services, PC, a 25-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2015
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Practice location Address checks out

300 Mulberry St Ste 301
Scranton, PA 18503-1225
Phone: (570) 955-5459
Fax: (570) 955-5528
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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 PC007969 (PA)

Record details

NPI number1457744609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2015
Last updated in NPPESMarch 12, 2015
Mailing address300 Mulberry St, Suite 301, Scranton, PA 18503-1225

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Integrative Counseling Services, Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scranton