Mackenzie Clark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0022884 Issued in CO

Practice address

11290 W Alameda Ave Ste 160
Lakewood, CO 80226-2510

Phone

(303) 691-6095

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paragon Behavioral Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakewood, CO
  • NPI 1811739782
  Medicare reassignment NPD
• Paragon Behavioral Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delta, CO
  • NPI 1619710589
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1265048391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11290 W ALAMEDA AVE STE 160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262510",
            "telephone_number": "303-691-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11290 W ALAMEDA AVE STE 160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262510",
            "telephone_number": "303-691-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MACKENZIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0022884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Cynthia Clark
• Kaitlin Clark, RBT
• Kasey Clark, LPCC
• Katelyn E Clark, LAC
• Lindsay Kae Clark
• Madison Clark
• Tyler M. Clark, PA-C
• Rohan Courtney Clarke, M.D.
• Yesinia Clary-Washington
• Ty Clase, O.D.

• Professional Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.