Scott David Stark, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

300 W Washington Ave Ste 210B
Jackson, MI 49201-2160

Phone

(517) 344-0913

NPI assigned

Nov 7, 2018

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Irwin Counseling Service PLLCGroup PAC ID 3971975004, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Irwin Counseling Service PLLC

  • Mental Health Counselor
  • Jackson, MI
  • NPI 1164946422
  Medicare reassignment Care Compare group NPD
• Mid-Michigan Recovery Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lansing, MI
  • NPI 1255386124
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1215405360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W MICHIGAN AVE APT 1",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024025",
            "telephone_number": "517-802-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 210B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012160",
            "telephone_number": "517-344-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 W Michigan Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492024025",
            "country_code": "US",
            "telephone_number": "517-802-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon K Stanek, O.D.
• Lindsay Stanfield, BSW
• Tracy Stanish, DNP, RN, FNP-BC
• Kali Marie Stanton, LLMSW
• Sarah Renee Stark, M.A., CCC-SLP
• Anne Louise Starr, LPC
• Laura Renee Starr, LLMSW
• Janelle E Staviski, LMSW
• Marcus F Steffen, MD
• Marisa Steffen

• Mental Health Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.