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KERRIE CLARK COUNSELING, LLC
NPI 1982475661
Community/Behavioral Health in Grand Rapids, MI

Active since January 11, 2024
5005 PLAINFIELD AVE NE STE 100, GRAND RAPIDS, MI 49525(616) 279-3869(616) 608-4657 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kerrie Clark Counseling, Llc NPPES

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

KERRIE CLARK COUNSELING, LLC (NPI 1982475661) is a healthcare organization registered as a community/behavioral health in Grand Rapids, Michigan and active in the NPI registry since January 2024. The organization lists Kerrie Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1982475661
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKERRIE CLARK COUNSELING, LLC
Location Address5005 PLAINFIELD AVE NE STE 100Grand Rapids, MI 49525-2087
Mailing Address5005 Plainfield Ave Ne Ste 100Grand Rapids, MI 49525-2087 · (616) 279-3869 · Fax (616) 608-4657
Phone(616) 279-3869
Fax(616) 608-4657
Organization SubpartNo
Authorized OfficialKerrie ClarkOwner · (616) 279-3869
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1982475661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5005 PLAINFIELD AVE NE STE 100, Grand Rapids, MI 49525
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerrie Clark Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kerrie Clark Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kerrie Clark, LPC
Mental Health Counselor
NPI 1225360662
5005 PLAINFIELD AVE NE STE 100
Grand Rapids, MI 49525
(616) 279-3869
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kerrie Clark Counseling, LLC's NPI number?

The NPI number for Kerrie Clark Counseling, LLC is 1982475661. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Kerrie Clark Counseling, LLC located?

Kerrie Clark Counseling, LLC is located at 5005 Plainfield Ave NE Ste 100, Grand Rapids, MI 49525. The listed phone number is (616) 279-3869.

What is Kerrie Clark Counseling, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kerrie Clark Counseling, LLC enrolled in Medicare?

Yes. Kerrie Clark Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kerrie Clark Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kerrie Clark Counseling, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kerrie Clark Counseling, LLC was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.