Emily Kathrine Clark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-2019 Issued in WY

Practice address

5725 Highland Dr
Casper, WY 82609-4382

Phone

(307) 265-3977

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Healing Place

  • Counselor
  • Casper, WY
  • NPI 1902046949
  NPD (past)
• The Healing Place at Highland Park Community Church

  • Community/Behavioral Health Agency
  • Casper, WY
  • NPI 1760925838
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1013557271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 PHEASANT DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044305",
            "telephone_number": "307-247-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 HIGHLAND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094382",
            "telephone_number": "307-265-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EMILY",
        "middle_name": "KATHRINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-1170",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Casper-Natrona County Health Department
• Kelli Ann Clair, PA
• Kelly Lisabeth Clanton, PPC
• David Allan Clapp, RPH
• Barbara Jean Clark
• Greta L Clark
• Kayleigh Clark, MSW, LCSW
• Kelly A Clark, LCSW
• Danielle Nichole Clarke, MSN, APRN, FNP-C
• Heather Marie Clarke, B.A.

• All providers in Casper, WY
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.