Individual provider

David Clark

Mental Health Counselor Counselor Medicare enrolled

David Clark is a Mental Health Counselor in Byron Center, MI, registered under NPI 1215390265. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1239 76TH ST SW STE H4, Byron Center, MI 49315. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1239 76TH ST SW STE H4, Byron Center, MI 49315 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6401224555 MI Mental Health Counselor primary
6401224555 MI Counselor
12387 OK Mental Health Counselor

Licences are recorded in 2 states: MI, OK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
7911432307
Enrollment ID
I20241121003181

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Michigan and Oklahoma. The practice address on file is in Byron Center, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MI Michigan practice address
Licence
6401224555
Specialty
Mental Health Counselor
Verify with the MI board →
OK Oklahoma
Licence
12387
Specialty
Mental Health Counselor
Verify with the OK board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health 6401224555 MI primary
101Y00000X Counselor 6401224555 MI
101YM0800X Mental Health Counselor Mental Health 12387 OK

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215390265 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 29, 2016
Last updatedApr 1, 2026
StatusActive
Sole proprietorYes
Practice address 1239 76TH ST SW STE H4
Byron Center, MI 49315
(616) 258-6270
Mailing address 12025 HARVEST HOME DR
Lowell, MI 49331
This record was updated on Apr 1, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1215390265 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 3 9 0 2 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 6 9 0 2 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215390265?
NPI 1215390265 is the National Provider Identifier assigned to David Clark in Byron Center, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact David Clark?
The phone number on file with NPPES is (616) 258-6270, last updated Apr 1, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Clark accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215390265 a valid number?
Yes. 1215390265 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.