CLINT WILLIAM IRWIN MA LPC NPI 1396054920

NPI Information

  • NPI: 1396054920
  • Provider Name: CLINT WILLIAM IRWIN, MA LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 W WASHINGTON AVE STE 210B
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 344-0913

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NPI Details

Clint William Irwin, MA LPC is a professional counselor in Jackson, MI with 18 years of experience. Clint William Irwin, MA LPC NPI is 1396054920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 W WASHINGTON AVE STE 210B
JACKSON, MI
ZIP 49201-160
Phone: (517) 344-0913
Fax: (517) 905-6007

The NPI 1396054920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 3/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor6401011162MICHIGANNo
2101YA0400XCounselorAddiction (Substance Use Disorder)6401011162MICHIGANNo
3101YP2500XCounselorProfessional6401011162MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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