DERRICK ROGERS CLARK (LPC) – Mental Health Counselor, NPI 1609184324

DERRICK ROGERS CLARK (LPC) is a healthcare provider. based in Columbia, Missouri. specializing in Mental Health Counselor. They hold the professional credentials LPC. They hold a License No. 2010031959 (MO). The NPI Number for DERRICK ROGERS CLARK (LPC) is 1609184324

Main info

Male
Sole Proprietor
Name
DERRICK ROGERS CLARK (LPC)
NPI
1609184324
Phone
(573) 239-6960
Address
209 S GARTH AVE
Enumeration Date
15 September 2010
Last Update Date
16 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

Provider Addresses for DERRICK ROGERS CLARK (LPC)

  • 209 S GARTH AVE

    COLUMBIA, MO 652033419

    Phone: (573) 239-6960

    Type: Mailing

  • 4304 S BEARFIELD RD

    COLUMBIA, MO 652019557

    Phone: (573) 874-8686

    Type: Location

  • 673 WESTBURY DR STE 201

    IOWA CITY, IA 522452732

    Phone: (319) 356-6352

    Fax: (319) 358-2367

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65203)

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Reviews

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Frequently asked questions

Can I verify DERRICK ROGERS CLARK (LPC) with an NPI only?
You can start verification with NPI 1609184324 for DERRICK ROGERS CLARK (LPC), then check state licensing separately.
Is DERRICK ROGERS CLARK (LPC) still practicing?
DERRICK ROGERS CLARK (LPC) is currently listed as active in the public NPI registry.
What is DERRICK ROGERS CLARK (LPC)'s primary classification?
Mental Health Counselor is the headline specialty for DERRICK ROGERS CLARK (LPC) here. Clinical services aligned with this taxonomy classification.
Where should I expect DERRICK ROGERS CLARK (LPC) on a map?
Expect Columbia, Missouri as a primary anchor for DERRICK ROGERS CLARK (LPC) unless the record lists multiple sites.
Is the information about DERRICK ROGERS CLARK (LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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