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KERRIE CLARK LPC
NPI 1225360662
Counselor - Professional in Grand Rapids, MI

Active since February 10, 2010PECOS EnrolledAccepts Medicare Assignment
5005 PLAINFIELD AVE NE STE 100, GRAND RAPIDS, MI 49525(616) 279-3869(616) 608-4657 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kerrie Clark Lpc NPPES

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

KERRIE CLARK LPC (NPI 1225360662) is an individual professional provider in Grand Rapids, Michigan and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225360662
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKERRIE CLARKCredential: LPC
Location Address5005 PLAINFIELD AVE NE STE 100Grand Rapids, MI 49525
Mailing Address5005 Plainfield Ave Ne Ste 100Grand Rapids, MI 49525 · (616) 279-3869 · Fax (616) 608-4657
Phone(616) 279-3869
Fax(616) 608-4657
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 10, 2010
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1225360662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
5005 PLAINFIELD AVE NE STE 100, Grand Rapids, MI 49525
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Other Names 1

Former Name (1)Kerrie Krahn Llpc

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 and accepts Medicare assignment

Kerrie Clark Lpc 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 ID2365887171
PECOS Enrollment IDI20240304001180
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 Kerrie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kerrie Clark Counseling, LLC
Same address
Community/Behavioral Health
5005 PLAINFIELD AVE NE STE 100
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
NPI 1982475661 (616) 279-3869

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

Other Providers at the Same Location NPPES 13

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

MARILYN DALE LPC
Counselor (Professional)
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3869
SHAWNA SIEGFRIED M.A., LLPC
Counselor (Professional)
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3869
DR. KAITLYN SORENSON DC
Chiropractor
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3869
MRS. CHERYL KARTUB AHRENS LMSW, ACSW
Social Worker (Clinical)
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3869
SUSAN MISSAD LMSW
Social Worker (Clinical)
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3969
BREANNE S ROBERTS LMSW
Social Worker (Clinical)
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (231) 753-8823
LISA CLARK LLP
Psychologist
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3869
WISE OWL WELLNESS PLLC
Chiropractor
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 279-3869

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 Kerrie Clark's NPI number?

The NPI number for Kerrie Clark is 1225360662. It was assigned to this individual provider in the NPPES registry on February 10, 2010. The provider is also known as Kerrie Krahn Llpc.

Where is Kerrie Clark located?

Kerrie Clark practices at 5005 Plainfield Ave NE Ste 100, Grand Rapids, MI 49525. The listed phone number is (616) 279-3869.

What is Kerrie Clark's specialty?

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

Is Kerrie Clark enrolled in Medicare?

Yes. Kerrie 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.

Which organization bills Medicare for Kerrie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerrie Clark reassigns Medicare benefits to Kerrie Clark Counseling, LLC (Grand Rapids, 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 Kerrie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerrie 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 1 other insurer list Kerrie 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 Kerrie Clark was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.