MS. JULIE KATHLEEN CLARK M.S., LPC, CRC, MITS
NPI 1164892873
Counselor - Professional in Petoskey, MI

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment
220 BAY ST, PETOSKEY, MI 49770(231) 622-5061 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Julie Kathleen Clark M.s., Lpc, Crc, Mits NPPES

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

MS. JULIE KATHLEEN CLARK M.S., LPC, CRC, MITS (NPI 1164892873) is an individual professional provider in Petoskey, Michigan, licensed in Michigan (6401011220) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164892873
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JULIE KATHLEEN CLARKCredential: M.S., LPC, CRC, MITS
Location Address220 BAY STPetoskey, MI 49770-2473
Mailing Address220 Bay StreetPetoskey, MI 49770 · (231) 622-5061
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 7, 2015
NPI 1164892873 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 · 6401011220
220 BAY ST, Petoskey, MI 49770

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

Ms. Julie Kathleen Clark M.s., Lpc, Crc, Mits 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.

PECOS PAC ID1254789597
PECOS Enrollment IDI20231128001698
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
220 BAY ST
PETOSKEY, MI 49770
Counselor (Mental Health)
220 BAY ST
PETOSKEY, MI 49770
Counselor (Mental Health)
220 BAY ST
PETOSKEY, MI 49770
Social Worker
220 BAY ST
PETOSKEY, MI 49770

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 Julie Clark's NPI number?

The NPI number for Julie Clark is 1164892873. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Julie Clark located?

Julie Clark practices at 220 Bay St, Petoskey, MI 49770. The listed phone number is (231) 622-5061.

What is Julie Clark's specialty?

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

Is Julie Clark enrolled in Medicare?

Yes. Julie 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 Julie Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, McLaren Health Plan Community and Oscar Insurance Company and 3 other insurers list Julie 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 Julie Clark was last updated on October 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.