ANGELA S CLARK (MA, LMHC, LPC) – Professional Counselor, NPI 1386676419

ANGELA S CLARK (MA, LMHC, LPC) is a healthcare provider. based in Centennial, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LMHC, LPC. They hold a License No. 01810 (IA). The NPI Number for ANGELA S CLARK (MA, LMHC, LPC) is 1386676419

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA S CLARK (MA, LMHC, LPC)
NPI
1386676419
Phone
(303) 501-7503
Address
19734 E UNION DR
Enumeration Date
7 July 2006
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203478559
Graduation Year
2001 (25 years ago)
PAC ID
1658720842
Group Practice PAC ID
7113176512
Professional Enrollment ID
I20231213002309
Address ID
CO800155187AU20971RDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for ANGELA S CLARK (MA, LMHC, LPC)

  • 19734 E UNION DR

    CENTENNIAL, CO 800153486

    Phone: (303) 501-7503

    Type: Mailing

  • 20971 E SMOKY HILL RD STE 204

    AURORA, CO 800155187

    Phone: (303) 501-7503

    Type: Location

  • Parker Park Office Building, 2620, South Parker Road, Aurora, Arapahoe County, Colorado, 80014, United States

    SUITE 272

    AURORA, CO 800141608

    Phone: (515) 802-4837

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231213002309IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113176512View full group profile
NameSpecialtyState
Clinical PsychologistCO
Mental Health CounselorCO
Clinical Social WorkerCO
-TX
Clinical Social WorkerCO
-CO
Mental Health CounselorCO
Clinical Social WorkerCO

Reviews

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Frequently asked questions

What number should I use to identify ANGELA S CLARK (MA, LMHC, LPC) for billing?
Administrative and clinical systems typically use NPI 1386676419 for ANGELA S CLARK (MA, LMHC, LPC).
Quick check: is ANGELA S CLARK (MA, LMHC, LPC) active?
Public NPPES data shows ANGELA S CLARK (MA, LMHC, LPC) with an active NPI status right now.
What services align with ANGELA S CLARK (MA, LMHC, LPC)'s listing?
ANGELA S CLARK (MA, LMHC, LPC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit ANGELA S CLARK (MA, LMHC, LPC) in Centennial, Colorado?
For routing, start with Centennial, Colorado for ANGELA S CLARK (MA, LMHC, LPC), then verify phone and hours locally.
Why is information missing for ANGELA S CLARK (MA, LMHC, LPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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