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ALYVIA CLARK MA
NPI 1609509793
Counselor - Mental Health in Huntington, IN

Active since July 06, 2022PECOS Enrolled
2860 NORTHPARK AVE, HUNTINGTON, IN 46750(260) 356-2875 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alyvia Clark Ma NPPES

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

ALYVIA CLARK MA (NPI 1609509793) is an individual mental health provider in Huntington, Indiana and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609509793
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYVIA CLARKCredential: MA
Location Address2860 NORTHPARK AVEHuntington, IN 46750-9700
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880
Phone(260) 356-2875
Sole ProprietorNo
Enumeration DateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1609509793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2860 NORTHPARK AVE, Huntington, IN 46750
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Alyvia Clark Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Alyvia Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bowen Health Inc
22 mi
Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group
NPI 1023668183 (800) 342-5653

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.

SOPHIA FRAZIER MA
Counselor (Mental Health)
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
SARAH J. MYERS MSW
Social Worker
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
EMILY HITTLER
Counselor (Mental Health)
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
RILEY POWELL
Counselor
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
ANDREW SEBASTIAN MA
Counselor (Mental Health)
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
ERIN HOLLOWELL
Counselor (Mental Health)
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
MILDRED LEINYUY TSANGUE MA
Counselor (Mental Health)
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875
JESSICA LEIGH HATCHER MA
Counselor (Mental Health)
2860 NORTHPARK AVE
HUNTINGTON, IN 46750
Huntington County (260) 356-2875

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 Alyvia Clark's NPI number?

The NPI number for Alyvia Clark is 1609509793. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Alyvia Clark located?

Alyvia Clark practices at 2860 Northpark Ave, Huntington, IN 46750. The listed phone number is (260) 356-2875.

What is Alyvia Clark's specialty?

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

Is Alyvia Clark enrolled in Medicare?

Yes. Alyvia Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyvia Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyvia Clark reassigns Medicare benefits to Bowen Health Inc (Fort Wayne, IN). 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 Alyvia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyvia Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Alyvia 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 Alyvia Clark was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.