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Deactivated NPI 1386208171 Deactivated / Inactive NPI Male Practitioner

Christopher Lee Clark

Peer Specialist • Saint Joseph, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Christopher Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2019
NPI Deactivation Date June 14, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Christopher Clark was a registered Peer Specialist practicing in Saint Joseph, MI. Throughout an active medical career spanning 4 years, Christopher Clark provided care at the practice location at 4032 M 139 STE 108 until profile deactivation on 2023-06-14.

Practice Location & Contact Primary Location

Practice Address

4032 M 139 Ste 108

Saint Joseph, MI 490858664

Telephone 2695561526
Associated Practice Facility / Clinic
🏢 Carols Hope Facility NPI 1285256644

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Saint Joseph, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Saint Joseph, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Jay Bond

Peer Specialist

NPI 1083351589
Heather Button

Peer Specialist

NPI 1104408723
Bridgette Butler

Nurse's Aide

NPI 1235795709
Meghan Dawson

Peer Specialist

NPI 1245894120
Tisha Troyer

Peer Specialist

NPI 1275241499
Sharon Jordan

Peer Specialist

NPI 1316400385

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active April 26, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 26, 2019

Registered at 4032 M 139 STE 108, SAINT JOSEPH, MI 490858664 (Tel: 2695561526)

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Updated Business Mailing Address April 26, 2019

Registered at 4032 M 139 STE 108, SAINT JOSEPH, MI 490858664 (Tel: 2695561526)

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Provider Name / Credentials Updated April 26, 2019

Recorded as CHRISTOPHER CLARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2019

Peer Specialist

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Initial NPI Registration & Enumeration April 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386208171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2019
Last Update: April 26, 2019
Deactivation Date: June 14, 2023

Mailing Address

4032 M 139 Ste 108

Saint Joseph, MI 490858664

Phone: 2695561526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.