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

Kathleen Stark, LPC

Individual provider Professional Counselor · NPI 1699126839

Kathleen Stark, LPC is a Mental Health Counselor in Waterford, Michigan. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6695 Highland Rd Ste 203
Waterford, MI 48327-1968
Phone: (248) 600-9928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401015298 (MI)

Record details

NPI number1699126839
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 29, 2016
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address2660 Grandview Blvd, Waterford, MI 48329-2916

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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