JUSTIN PAUL LARK LPC
NPI 1962087445
Counselor - Professional in Kansas City, MO

Active since March 16, 2021PECOS EnrolledAccepts Medicare Assignment
6300 N LUCERNE AVE, KANSAS CITY, MO 64151(505) 231-1997 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Nov 10, 2022, Mar 16, 2021 (3 updates tracked since 2021).

About Justin Paul Lark Lpc NPPES

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

JUSTIN PAUL LARK LPC (NPI 1962087445) is an individual professional provider in Kansas City, Missouri, licensed in Missouri (2020041662) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962087445
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTIN PAUL LARKCredential: LPC
Location Address6300 N LUCERNE AVEKansas City, MO 64151-3199
Mailing Address108 El Camino StRaton, NM 87740-3608 · (505) 231-1997
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 16, 2021
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1962087445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MO · 2020041662 Licensed in CO · 0018890
6300 N LUCERNE AVE, Kansas City, MO 64151

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

Justin Paul Lark Lpc 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 ID7618310228
PECOS Enrollment IDI20240212000917, I20240219002134
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

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

Social Worker (Clinical)
6300 N LUCERNE AVE
KANSAS CITY, MO 64151

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 Justin Lark's NPI number?

The NPI number for Justin Lark is 1962087445. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Justin Lark located?

Justin Lark practices at 6300 N Lucerne Ave, Kansas City, MO 64151. The listed phone number is (505) 231-1997.

What is Justin Lark's specialty?

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

Is Justin Lark enrolled in Medicare?

Yes. Justin Lark 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 Justin Lark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Justin Lark 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 Justin Lark was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.