KESSALYN RAE CLARK LCSW, LAC
NPI 1871071639
Counselor - Professional in Helena, MT

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
501 EUCLID AVE, HELENA, MT 59601(406) 442-9244 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Mar 2, 2023, Jan 9, 2023 and 2 more (5 updates tracked since 2018).

About Kessalyn Rae Clark Lcsw, Lac NPPES

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

KESSALYN RAE CLARK LCSW, LAC (NPI 1871071639) is an individual professional provider in Helena, Montana, licensed in Montana (BBH-LCSW-LIC-55626) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Helena, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871071639
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKESSALYN RAE CLARKCredential: LCSW, LAC
Location Address501 EUCLID AVEHelena, MT 59601-2865
Mailing Address400 Harrison AveHelena, MT 59601-6147 · (406) 475-4684
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 3, 2018
Last NPPES UpdateMarch 15, 20235 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1871071639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MT · BBH-LCSW-LIC-55626
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License BBH-LAC-LIC-31878 (MT)
501 EUCLID AVE, Helena, MT 59601

Secondary Practice Location 1

Location 1640 N Rodney StHelena, MT 59601-3758 · Phone (406) 475-4684

Other Identifiers 1

Other92-2641389MT · Irs

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

Kessalyn Rae Clark Lcsw, Lac 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 ID6002294923
PECOS Enrollment IDI20220606002468
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.

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
501 EUCLID AVE
HELENA, MT 59601
Counselor (Addiction (Substance Use Disorder))
501 EUCLID AVE
HELENA, MT 59601
Counselor (Addiction (Substance Use Disorder))
501 EUCLID AVE
HELENA, MT 59601
Counselor (Mental Health)
501 EUCLID AVE
HELENA, MT 59601
Counselor (Addiction (Substance Use Disorder))
501 EUCLID AVE
HELENA, MT 59601
Counselor (Addiction (Substance Use Disorder))
501 EUCLID AVE
HELENA, MT 59601
Clinic/Center (Federally Qualified Health Center (FQHC))
501 EUCLID AVE
HELENA, MT 59601
Nurse Practitioner (Psychiatric/Mental Health)
501 EUCLID AVE
HELENA, MT 59601

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 Kessalyn Clark's NPI number?

The NPI number for Kessalyn Clark is 1871071639. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Kessalyn Clark located?

Kessalyn Clark practices at 501 Euclid Ave, Helena, MT 59601. The listed phone number is (406) 442-9244.

What is Kessalyn Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kessalyn Clark enrolled in Medicare?

Yes. Kessalyn 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 Kessalyn Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Kessalyn 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 Kessalyn Clark was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.