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MISS KAELEIGH S CLARK
NPI 1437824752
Counselor - Mental Health in Brooklyn, NY

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
203 JAY ST STE 501, BROOKLYN, NY 11201(347) 304-9465(631) 850-6900 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 1, 2026, Aug 9, 2021 (2 updates tracked since 2021).

About Miss Kaeleigh S Clark NPPES

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

MISS KAELEIGH S CLARK (NPI 1437824752) is an individual mental health provider in Brooklyn, New York, licensed in New York (017266) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Poughkeepsie, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437824752
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KAELEIGH S CLARK
Location Address203 JAY ST STE 501Brooklyn, NY 11201-4398
Mailing AddressPo Box 823Newburgh, NY 12551-0823
Phone(347) 304-9465
Fax(631) 850-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 9, 2021
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1437824752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 017266
203 JAY ST STE 501, Brooklyn, NY 11201
Open in Google Maps ↗

Secondary Practice Location 1

Location 146 Lincoln AvePoughkeepsie, NY 12601 · Phone (845) 471-6004

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

Miss Kaeleigh S 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.

PECOS PAC ID8224505847
PECOS Enrollment IDI20260430002615
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 Reassignments

3

Medicare enrollment records show Kaeleigh Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carmel Psychological Health, PC
50 mi
Psychologist
667 STONELEIGH AVE STE 202
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 296 clinicians in this Medicare group
NPI 1720194335 (845) 279-5908
Access: Supports For Living Inc.
56 mi
Rehabilitation, Substance Use Disorder
16 UNION ST
Middletown, NY 10940
  • Reassigned Medicare billing, New York enrollment
  • 103 clinicians in this Medicare group
NPI 1790326320 (845) 692-4454
Uplift Behavioral Health PC
203 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607

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 15

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

OLIVIA RAE SOSNOWSKI NP
Nurse Practitioner (Psychiatric/Mental Health)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (347) 304-9465
ALEXANDER BOGOMOLNIK LCSW
Social Worker (Clinical)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (347) 304-9465
JERNICE LINDSAY
Marriage & Family Therapist
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (917) 912-0364
CHELSEA LANG PMHNP-BC, APRN, MSN
Nurse Practitioner (Psychiatric/Mental Health)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (347) 304-9465
EVELYN CRUZ SANTIAGO LMHC
Counselor (Mental Health)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (925) 231-4325
MR. JUSTIN HYACINTH MHC-LP
Counselor (Mental Health)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (347) 304-9465
KYLIE ALLEN LMHC
Counselor (Mental Health)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (347) 304-9465
ROYSTON OGBUAGU NP
Nurse Practitioner (Psychiatric/Mental Health)
203 JAY ST STE 501
BROOKLYN, NY 11201
Kings County (917) 416-7490

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 Kaeleigh Clark's NPI number?

The NPI number for Kaeleigh Clark is 1437824752. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Kaeleigh Clark located?

Kaeleigh Clark practices at 203 Jay St Ste 501, Brooklyn, NY 11201. The listed phone number is (347) 304-9465.

What is Kaeleigh Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaeleigh Clark enrolled in Medicare?

Yes. Kaeleigh 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 organizations bill Medicare for Kaeleigh Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaeleigh Clark reassigns Medicare benefits to 3 organizations: Carmel Psychological Health, PC (Carmel, NY), Access: Supports For Living Inc. (Middletown, NY) and Uplift Behavioral Health PC (Bethesda, MD). Each 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 Kaeleigh Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaeleigh Clark was last updated on June 19, 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.