| Christie Clark, LPC | |
|
118 W Oak St, Ste 2b, Mason, MI 48854-1667 | |
| (517) 803-0846 | |
| Not Available |
| Full Name | Christie Clark |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 118 W Oak St, Mason, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255964755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 101YP2500X | Counselor - Professional | 6401018151 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Consumer Services, Inc. | 0840214789 | 10 |
| Entity Name | County of Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
| Entity Name | Consumer Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306876735 PECOS PAC ID: 0840214789 Enrollment ID: O20060119000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Christie Clark, LPC 525 Okemos St, Mason, MI 48854-1224 Ph: (517) 833-8100 | Christie Clark, LPC 118 W Oak St, Ste 2b, Mason, MI 48854-1667 Ph: (517) 803-0846 |
Nicholas Scott Sober, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4420 W Columbia Rd, Mason, MI 48854 Phone: 517-252-8688 |
Zachary James Ufkes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2950 W Howell Rd, Mason, MI 48854 Phone: 517-367-0670 |
Ashleigh Pank, LLPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 585 Jewett Rd, Mason, MI 48854 Phone: 517-676-5405 Fax: 517-676-5460 |
Terri Lynne Mcgarry, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 839 S Cedar St Ste 200, Mason, MI 48854 Phone: 517-507-0201 Fax: 517-507-0201 |
Jennifer Garza, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3657 Fernwood Ln, Mason, MI 48854 Phone: 517-763-8448 Fax: 833-761-1200 |
Mrs. Debra Ann O'berry, MA, LPC, CAAC Counselor Medicare: Medicare Enrolled Practice Location: 3827 W Howell Rd, Mason, MI 48854 Phone: 517-256-6751 Fax: 517-676-4941 |
Katharine Wise, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 839 S Cedar St Ste 100, Mason, MI 48854 Phone: 517-507-0201 Fax: 517-969-3555 |