Active NPI
Angel Marie Clark, LPC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1295546935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 85572
- Practice address
- 9401 Southwest Fwy
Houston, TX 77074-1407 - Phone
- (713) 970-3344
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 85572 | TX | Primary |
Addresses
Primary practice location
9401 Southwest Fwy
Houston, TX 77074-1407
Mailing address
9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250303001628 | TX | Practitioner - Mental Health Counselor | 5698296077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1295546935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANGEL",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "85572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.