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TAWANDA CLARKE M.A., LPC, CAADC
NPI 1033398987
Counselor in Portage, MI

Active since October 29, 2007PECOS Enrolled
609 SOUTHLAND AVE, PORTAGE, MI 49024(269) 808-6556 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tawanda Clarke M.a., Lpc, Caadc NPPES

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

TAWANDA CLARKE M.A., LPC, CAADC (NPI 1033398987) is an individual counselor in Portage, Michigan and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1033398987
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAWANDA CLARKECredential: M.A., LPC, CAADC
Location Address609 SOUTHLAND AVEPortage, MI 49024-2753
Mailing Address609 Southland AvePortage, MI 49024-2753 · (269) 808-6556 · Fax (000) 000-0000
Phone(269) 808-6556
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 29, 2007
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1033398987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

609 SOUTHLAND AVE, Portage, MI 49024
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tawanda Clarke M.a., Lpc, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587142732
PECOS Enrollment IDI20260129003275
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Tawanda Clarke's NPI number?

The NPI number for Tawanda Clarke is 1033398987. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Tawanda Clarke located?

Tawanda Clarke practices at 609 Southland Ave, Portage, MI 49024. The listed phone number is (269) 808-6556.

What is Tawanda Clarke's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tawanda Clarke enrolled in Medicare?

Yes. Tawanda Clarke is registered in the Medicare PECOS enrollment system.

What insurance does Tawanda Clarke accept?

Health plans from Priority Health list Tawanda Clarke 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 Tawanda Clarke was last updated on August 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.