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

Kerrie Clark, LPC

Individual provider Professional Counselor · NPI 1225360662

Kerrie Clark, LPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5005 Plainfield Ave NE Ste 100
Grand Rapids, MI 49525
Phone: (616) 279-3869
Fax: (616) 608-4657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1225360662
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 10, 2010
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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