KEVIN CLARK LMHC
NPI 1487913232
Counselor - Mental Health in Raynham, MA
About Kevin Clark Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN CLARK LMHC (NPI 1487913232) is an individual mental health provider in Raynham, Massachusetts and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Johnston, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Clark Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Easton, MA 02375
- Reassigned Medicare billing, Massachusetts enrollment
- 6 clinicians in this Medicare group
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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kevin Clark's NPI number?
The NPI number for Kevin Clark is 1487913232. It was assigned to this individual provider in the NPPES registry on May 15, 2012.
Where is Kevin Clark located?
Kevin Clark practices at 1244 Broadway, Raynham, MA 02767. The listed phone number is (508) 202-1811.
What is Kevin Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kevin Clark enrolled in Medicare?
Yes. Kevin Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Clark reassigns Medicare benefits to Elevate Counseling Services, Inc. (South Easton, MA). 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 Kevin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Clark accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kevin 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 Kevin Clark was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Kevin Clark, LMHC · NPI 1487913232
Mental Health provider in Raynham, Massachusetts. Individual provider, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1487913232 (Entity type: Individual)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1244 BROADWAY, Raynham, MA 02767-1973
- **Phone:** (508) 202-1811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Elevate Counseling Services, Inc. (NPI 1437521010, South Easton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487913232) · Data from the CMS NPPES public registry.