KELLY CLARK MA CAGS
NPI 1598856759
Counselor - Mental Health in Milford, MA
About Kelly Clark Ma Cags NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CLARK MA CAGS (NPI 1598856759) is an individual mental health provider in Milford, Massachusetts, licensed in (1074) and active in the NPI registry since September 2006. He has opted out of Medicare through February 6, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelly Clark Ma Cags has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2024 through February 6, 2028.
Other Providers at the Same Location NPPES 4
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 Kelly Clark's NPI number?
The NPI number for Kelly Clark is 1598856759. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is Kelly Clark located?
Kelly Clark practices at 171 Main St Ste 401, Milford, MA 01757. The listed phone number is (508) 473-4984.
What is Kelly Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Clark enrolled in Medicare?
No. Kelly Clark has opted out of Medicare through February 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Kelly Clark accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kelly 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 Kelly Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kelly Clark, MA CAGS · NPI 1598856759
Mental Health provider in Milford, Massachusetts. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1598856759 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 1074
- **Sole proprietor:** No
## Practice location
- **Address:** 171 MAIN ST, STE 401, Milford, MA 01757
- **Phone:** (508) 473-4984 · **Fax:** (508) 482-7316
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 6, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other LM0158 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1598856759) · Data from the CMS NPPES public registry.