MRS. MELBA LYNETTE CLARK
NPI 1073158317
Counselor - Professional in Detroit, MI
About Mrs. Melba Lynette Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MELBA LYNETTE CLARK (NPI 1073158317) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401017626) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Melba Lynette Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Melba Clark's NPI number?
The NPI number for Melba Clark is 1073158317. It was assigned to this individual provider in the NPPES registry on November 11, 2019.
Where is Melba Clark located?
Melba Clark practices at 1010 Antietam Ave, Detroit, MI 48207. The listed phone number is (313) 303-7585.
What is Melba Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Melba Clark enrolled in Medicare?
Yes. Melba Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Melba Clark 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 4 other insurers list Melba 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 Melba Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Mrs. Melba Lynette Clark · NPI 1073158317
Professional provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since November 11, 2019.
## Identity
- **NPI:** 1073158317 (Entity type: Individual)
- **Enumerated:** November 11, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401017626 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 ANTIETAM AVE, Detroit, MI 48207-2832
- **Phone:** (313) 303-7585
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073158317) · Data from the CMS NPPES public registry.