Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE CLARK
NPI 1013624998
Counselor - Professional in Southfield, MI

Q: What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1013624998. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Q: What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2022

20201 ALHAMBRA ST, SOUTHFIELD, MI 48076(248) 592-4108 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Nov 1, 2022 (2 updates tracked since 2022).

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About Nicole Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE CLARK (NPI 1013624998) is an individual professional provider in Southfield, Michigan, licensed in Michigan (6401226521) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1013624998

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICOLE CLARK

Location Address20201 ALHAMBRA STSouthfield, MI 48076-5420

Mailing Address20201 Alhambra StSouthfield, MI 48076-5420

Phone(248) 592-4108

Sole ProprietorYes

Enumeration DateNovember 1, 2022

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1013624998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401226521

20201 ALHAMBRA ST, Southfield, MI 48076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1013624998. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Nicole Clark located?

Nicole Clark practices at 20201 Alhambra St, Southfield, MI 48076. The listed phone number is (248) 592-4108.

What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Nicole Clark accept?

Health plans from McLaren Health Plan Community list Nicole Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.