Mary Josephine Clark, M.A., L.P.C.
NPI 1063482578ActiveIndividual· Counselor, Professional· Kentwood, MI
Counselor, Professional (M.A., L.P.C.) in Kentwood, Michigan, licensed in MI, with an NPI issued in January 2006.
Overview
| NPI | 1063482578 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., L.P.C. |
| Sole proprietor | Yes |
| NPI issued | Jan 25, 2006 |
| Last updated in NPPES | May 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401005964 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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