KYLE A CLARK MS, LPC
NPI 1427669480
Counselor - Professional in Independence, MO

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment
17844 E 23RD ST S, INDEPENDENCE, MO 64057(816) 254-3652 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 22, 2023, Aug 13, 2020 (2 updates tracked since 2020).

About Kyle A Clark Ms, Lpc NPPES

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

KYLE A CLARK MS, LPC (NPI 1427669480) is an individual professional provider in Independence, Missouri, licensed in Missouri (2025031793) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427669480
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE A CLARKCredential: MS, LPC
Location Address17844 E 23RD ST SIndependence, MO 64057-1840
Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5214 · Fax (417) 761-5065
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 13, 2020
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1427669480 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 MO · 2025031793
17844 E 23RD ST S, Independence, MO 64057

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

Kyle A Clark Ms, 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 ID8224536016
PECOS Enrollment IDI20250811003506
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 20

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

Social Worker (Clinical)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Mental Health)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Social Worker (Clinical)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Professional)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Nurse Practitioner (Psychiatric/Mental Health)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Professional)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Professional)
17844 E 23RD ST S
INDEPENDENCE, MO 64057

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 Kyle Clark's NPI number?

The NPI number for Kyle Clark is 1427669480. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Kyle Clark located?

Kyle Clark practices at 17844 E 23rd St S, Independence, MO 64057. The listed phone number is (816) 254-3652.

What is Kyle Clark's specialty?

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

Is Kyle Clark enrolled in Medicare?

Yes. Kyle 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 Kyle Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kyle 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 Kyle Clark was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.