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

MS. Julie Kathleen Clark, MS, LPC, CRC, MITS

Individual provider Professional Counselor · NPI 1164892873

MS. Julie Kathleen Clark, MS, LPC, CRC, MITS is a Mental Health Counselor in Petoskey, Michigan. Qualified in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

220 Bay St
Petoskey, MI 49770-2473
Phone: (231) 622-5061
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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 6401011220 (MI)

Record details

NPI number1164892873
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC , CRC , MITS
Sole proprietorYes
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 7, 2015

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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