KERRIE CLARK (NPI# 1225360662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225360662 |
| Entity Type | Individual |
| Full Name | KERRIE CLARK |
| Other Name | KERRIE KRAHN |
| Credential | LPC |
| Practice Address |
5005 Plainfield Ave Ne Ste 100 Grand Rapids MI 49525 |
| Practice Telephone | 6162793869 |
| Practice Fax Number | 6166084657 |
| Mailing Telephone | 6162793869 |
| Mailing Fax Number | 6166084657 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033464383 | Kerrie Lynne Clark | Specialist | 51 3rd St, Lindenhurst, NY 11757-1324 | 2012-07-23 |
| Street Address |
5005 PLAINFIELD AVE NE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234013 | Cheryl Kartub Ahrens | Social Worker | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525-2087 | 2020-10-30 |
| 1356962658 | Nicole M Novak LLC | Social Worker | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 | 2020-04-28 |
| 1912533605 | Ayew-ew Counseling LLC | Clinic/Center | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525-2087 | 2020-03-13 |
| 1053957753 | Michaela Dawn Ayew-ew | Counselor | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525-2087 | 2019-11-18 |
| 1376058453 | Susan Missad | Social Worker | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-12-11 |
| 1639590813 | Lisa Lamancusa | Psychologist | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525-9747 | 2013-12-14 |
| 1124454103 | Shawna Siegfried | Counselor | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 | 2013-09-22 |
| 1003250242 | Marilyn Dale | Counselor | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 | 2013-04-18 |
| 1790039378 | Amy Hubbard | Psychologist | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 | 2012-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020558 | Danita Mcalister | Counselor | 2504 Normandy Dr Se Apt 213b, Grand Rapids, MI 49506-7901 | 2020-10-16 |
| 1013521574 | Megan Flier | Counselor | 3744 Bradford St Ne, Grand Rapids, MI 49525-3325 | 2020-09-02 |
| 1457962078 | Cappon Consulting LLC | Counselor | 1344 Mayfield Ave Ne, Grand Rapids, MI 49505-5525 | 2020-08-17 |
| 1124644596 | Travis James Atkinson | Counselor | 3000 Wausaukee Dr Ne, Grand Rapids, MI 49525-1916 | 2020-06-22 |
| 1639790207 | Tracey Wicks | Counselor | 78 Centerbrook St Se, Grand Rapids, MI 49548-6902 | 2020-05-05 |
| 1174160592 | Lindsey Elizabeth Rosa | Counselor | 845 5th St Nw Apt 2, Grand Rapids, MI 49504-5163 | 2019-12-04 |
| 1710530597 | New Way Counseling LLC | Counselor | 1971 E Beltline Ave Ne Ste C, Grand Rapids, MI 49525-7045 | 2019-07-19 |
| 1588216048 | Kate Jack | Counselor | 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546-5794 | 2019-07-15 |
| 1104488105 | Travis Gordon | Counselor | 800 Monroe Ave Nw Ste 319, Grand Rapids, MI 49503-1451 | 2019-07-01 |
| 1255996575 | The Family Therapy Place Pllc | Counselor | 731 Front Ave Nw, Grand Rapids, MI 49504-5366 | 2019-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on KERRIE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.