Kelly Clark, AAC
NPI 1477897916 · Peer Specialist · Everett, WA
Kelly Clark, AAC is a Peer Specialist provider in Everett, WA (NPI 1477897916).
Provider details
- NPI number
- 1477897916
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- AAC
- Sex
- Female
- Sole proprietor
- No
- License
- 1477897916 (WA)
Specialties & taxonomies
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1100 S 2nd StMount Vernon, WA 98273-4209Phone: (360) 419-3500
Registry dates
- Enumerated
- 2012-11-22
- Last updated
- 2018-03-17
Frequently asked questions
- What is Kelly Clark's NPI number?
- Kelly Clark's National Provider Identifier (NPI) is 1477897916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Clark's specialty?
- Kelly Clark is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Kelly Clark located?
- Kelly Clark's practice location on file with NPPES is 811 Madison St, Everett, WA 98203-4543.
- What is Kelly Clark's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark is (425) 212-4200.
- Is Kelly Clark's NPI active?
- Yes — Kelly Clark's NPI (1477897916) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.