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MR. KEVIN LEMORE CLARK MHPP
NPI 1538317482
Counselor in Trumann, AR

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment
417 W MAIN ST, STE B, TRUMANN, AR 72472(870) 483-7039(870) 483-0590 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kevin Lemore Clark Mhpp NPPES

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

MR. KEVIN LEMORE CLARK MHPP (NPI 1538317482) is an individual counselor in Trumann, Arkansas and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538317482
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KEVIN LEMORE CLARKCredential: MHPP
Location Address417 W MAIN ST, STE BTrumann, AR 72472-3116
Mailing Address5537 Bleaux AveSpringdale, AR 72762-0737 · (479) 872-5580 · Fax (479) 872-5581
Phone(870) 483-7039
Fax(870) 483-0590
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 4, 2008
✔ NPI 1538317482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
417 W MAIN ST, Trumann, AR 72472
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

Mr. Kevin Lemore Clark Mhpp 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 ID2062855901
PECOS Enrollment IDI20240208000590
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 Kevin Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Strategies Of Arkansas, LLC
41 mi
Mental Health (Including Community Mental Health Center)
304 N 6TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Arkansas enrollment
  • 8 clinicians in this Medicare group
NPI 1700950011 (870) 732-1878

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 20

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

MRS. HOLLIE KAY MCLAUGHLIN MSN, APN, FNP
Nurse Practitioner (Family)
417 W MAIN ST
TRUMANN, AR 72472
Poinsett County (870) 483-7039
TANIKA PRUITT
Counselor
417 W MAIN ST, STE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039
MR. THAN DEMETRISUS ANDROS AT
Counselor
417 W MAIN ST, STE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039
AMY ELAINE ADAMS
Counselor
417 W MAIN ST, STE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039
MRS. JESSICA SUE GORDON AT
Counselor (Mental Health)
417 W MAIN ST, SUITE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039
MRS. PAMELA FAY WILLETT LAC, LADAC
Counselor
417 W MAIN ST, STE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039
CAROLYN D LAWLESS
Counselor
417 W MAIN ST, STE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039
MR. ROY C PATTON JR. MHPP
Counselor
417 W MAIN ST, STE B
TRUMANN, AR 72472
Poinsett County (870) 483-7039

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 1538317482. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Kevin Clark located?

Kevin Clark practices at 417 W Main St Ste B, Trumann, AR 72472. The listed phone number is (870) 483-7039.

What is Kevin Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kevin Clark enrolled in Medicare?

Yes. Kevin 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 Kevin Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Clark reassigns Medicare benefits to Life Strategies Of Arkansas, LLC (West Memphis, AR). 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 Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.