MRS. DARCIE RUPERT CLARK MS LPCC LCDCIII NPI 1003149808

NPI Information

NPI: 1003149808
Provider Name: MRS. DARCIE RUPERT CLARK, MS, LPCC, LCDCIII
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
PECOS Registration: Yes
Address: 11 W MONUMENT AVE STE 100
DAYTON, OH
ZIP 45402
Phone: (937) 679-6301

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NPI Details

MRS. Darcie Rupert Clark, MS, LPCC, LCDCIII is a mental health counselor in Dayton, OH with 28 years of experience. MRS. Darcie Rupert Clark, MS, LPCC, LCDCIII NPI is 1003149808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11 W MONUMENT AVE STE 100
DAYTON, OH
ZIP 45402-293
Phone: (937) 679-6301
Fax: (937) 630-4391

The NPI 1003149808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 12/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	991819	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	E08331-5	OHIO	No
3	101YP2500X	Counselor	Professional	EO8331	OHIO	No
4	101YM0800X	Counselor	Mental Health	EO8331	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0184758	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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