April Shannon Clark, LPC-ASSOCIATE R7809

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C10703 Issued in OR

Practice address

4780 Village Plaza Loop Ste 100
Eugene, OR 97401-6624

Phone

(971) 377-1317

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

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

• Center for Family Development, Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1265609184
  NPD (past)
• Center for Family Development, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eugene, OR
  • NPI 1538150388
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1023371101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 VILLAGE PLAZA LOOP STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016624",
            "telephone_number": "971-377-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 VILLAGE PLAZA LOOP STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016624",
            "telephone_number": "971-377-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "APRIL",
        "middle_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LPC-ASSOCIATE R7809",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023371101",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Eugene (Eugene Fire & EMS Department)
• City of Springfield (City of Springfield Ambulance)
• Cortnie Ciullo
• Lauren Forrester Clancey, AU.D
• Adam William Clark, PTA
• Breanne Ariel Clark
• Caitlin Alexandra Clark, BA, CADC I
• Camm D. Clark, LCSW
• Christina Clark
• Crystal L Clark, RC

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.