Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Mack Clark

Individual provider Counselor · NPI 1215390265

David Mack Clark is a Mental Health Counselor in Byron Center, Michigan. Qualified in 2015, 11 years ago. Practices with Laureate Psychiatric Clinic and Hospital Inc, a 78-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Oklahoma.

Years since qualifying
11
Licensed in
MI, OK
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1239 76th St SW Ste H4
Byron Center, MI 49315-7921
Phone: (616) 258-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 710 S Holly St, Siloam Springs, AR 72761-3304 — (479) 524-8618
  • 6655 S Yale Ave, Tulsa, OK 74136-3326 — (918) 491-3700

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401224555 (MI)
Counselor Taxonomy 101Y00000X · Licence 6401224555 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 12387 (OK)

Record details

NPI number1215390265
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2016
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address12025 Harvest Home Dr, Lowell, MI 49331-8890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Laureate Psychiatric Clinic And Hospital Inc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Byron Center