KEVIN JOHN CLARK
NPI 1609934397
Counselor - Mental Health in Brooklyn, NY
About Kevin John Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN JOHN CLARK (NPI 1609934397) is an individual mental health provider in Brooklyn, New York, licensed in New York (000087) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin John 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.
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.
BROOKLYN, NY 11201
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 1609934397. It was assigned to this individual provider in the NPPES registry on December 5, 2006.
Where is Kevin Clark located?
Kevin Clark practices at 32 Court St, Brooklyn, NY 11201. The listed phone number is (718) 648-0705.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kevin Clark accept?
Health plans from Providence Health Plan 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 November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Kevin John Clark · NPI 1609934397
Mental Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1609934397 (Entity type: Individual)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 000087 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 32 COURT ST, Brooklyn, NY 11201-4421
- **Phone:** (718) 648-0705 · **Fax:** (347) 333-3451
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609934397) · Data from the CMS NPPES public registry.