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

Kevin John Clark

Individual provider Mental Health Counselor · NPI 1609934397

Kevin John Clark is a Mental Health Counselor in Brooklyn, New York. Qualified in 1990, 36 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

32 Court St
Brooklyn, NY 11201-4421
Phone: (718) 648-0705
Fax: (347) 333-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32 Court St, Brooklyn, NY 11201-4421 — (718) 648-0705

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 000087 (NY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1609934397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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