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

Scott David Stark, LPC

Individual provider Mental Health Counselor · NPI 1215405360

Scott David Stark, LPC is a Mental Health Counselor in Jackson, Michigan. Qualified in 2018, 8 years ago. Practices with Irwin Counseling Service PLLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

300 W Washington Ave Ste 210B
Jackson, MI 49201-2160
Phone: (517) 344-0913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1508 W Michigan Ave Apt 1, Jackson, MI 49202-4025 — (517) 802-0501

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1215405360
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address1508 W Michigan Ave Apt 1, Jackson, MI 49202-4025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Irwin Counseling Service Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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