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

Q: 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.

Q: What is Tawanda Clarke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tawanda Clarke was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 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: October 18, 2026.

On this page

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tawanda Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diane M Kanous

4.8 mi

Counseling

3030 S. 9TH ST., SUITE 3E
Kalamazoo, MI 49009

Reassigned Medicare billing, Michigan enrollment
11 clinicians in this Medicare group

NPI 1588837736 (269) 544-7720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Tawanda Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tawanda Clarke reassigns Medicare benefits to Diane M Kanous (Kalamazoo, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tawanda Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tawanda Clarke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.