David Mack Clark
NPI 1215390265ActiveIndividual· Counselor, Mental Health· Byron Center, MI
Counselor, Mental Health with Laureate Psychiatric Clinic and Hospital Inc, practicing in Byron Center, Michigan. Enrolled in Medicare as practitioner - mental health counselor and practitioner - mental health counselor.
Overview
| NPI | 1215390265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 29, 2016 |
| Last updated in NPPES | Apr 1, 2026 |
| Certified by provider | Apr 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 6401224555 | MI |
| Counselor | 101Y00000X | 6401224555 | MI |
| Counselor, Mental Health | 101YM0800X | 12387 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI); Practitioner - Mental Health Counselor (OK) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Laureate Psychiatric Clinic and Hospital IncTulsa, OK · 76 clinicians
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All 20 mental health counselors in Byron Center · All mental health counselors in Michigan