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

Vickie Diane Clark

Individual provider Counselor · NPI 1760765374

Vickie Diane Clark is a Mental Health Counselor in Midwest City, Oklahoma. Qualified in 2011, 15 years ago. Practices with Alliance Mental Health, LLC, a 24-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
15
In the registry since
2011
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Practice location Address checks out

10905 NE 10th St
Midwest City, OK 73130-2209
Phone: (918) 791-1995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1760765374
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2011
Last updated in NPPESSeptember 21, 2011
Mailing address10905 Nw 10th St., Midwest City, OK 74344

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Alliance Mental Health, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Midwest City