DAVID MACK CLARK
NPI 1215390265
Counselor - Mental Health in Byron Center, MI
About David Mack Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID MACK CLARK (NPI 1215390265) is an individual mental health provider in Byron Center, Michigan, licensed in Michigan (6401224555) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
David Mack 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BYRON CENTER, MI 49315
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 David Clark's NPI number?
The NPI number for David Clark is 1215390265. It was assigned to this individual provider in the NPPES registry on March 29, 2016.
Where is David Clark located?
David Clark practices at 1239 76th St SW Ste H4, Byron Center, MI 49315. The listed phone number is (616) 258-6270.
What is David Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is David Clark enrolled in Medicare?
Yes. David 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 David Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Medica and Mending Health and 2 other insurers list David 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 David Clark was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# David Mack Clark · NPI 1215390265
Mental Health provider in Byron Center, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2016.
## Identity
- **NPI:** 1215390265 (Entity type: Individual)
- **Enumerated:** March 29, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401224555 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1239 76TH ST SW STE H4, Byron Center, MI 49315-7921
- **Phone:** (616) 258-6270
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215390265) · Data from the CMS NPPES public registry.