Individual provider Active NPI

Angela S Clark, MA, LMHC, LPC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1386676419
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012011 Issued in CO
Practice address
20971 E Smoky Hill Rd Ste 204
Aurora, CO 80015-5187
Phone
(303) 501-7503
NPI assigned
Jul 7, 2006
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01810 IA
Professional Counselor 101YP2500X 0012011 CO Primary

Addresses

Primary practice location

20971 E Smoky Hill Rd Ste 204
Aurora, CO 80015-5187

Mailing address

19734 E Union Dr
Centennial, CO 80015-3486
Phone (303) 501-7503

Other identifiers 1

IdentifierTypeStateIssuer
29021OtherIAWELLMARK BLUE SHIELD

Other names 1

  • Angela S Clark-Hanify Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231213002309 CO Practitioner - Mental Health Counselor 1658720842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Valued Living PLLCGroup PAC ID 7113176512, 9 clinicians

Practice addresses (Care Compare)

20971 E Smoky Hill Rd
Suite 204
Aurora, CO 80015-5187
Phone (720) 347-8559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01810IAMDMental Health Counselor
0012011COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Valued Living PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Center for Valued Living, PLLC Mental Health Current Accepting new patients
Center for Valued Living, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

20971 E Smoky Hill Rd
Ste 204
Aurora, CO 80015
Phone (720) 507-1755

2620 S Parker Rd
Ste 272
Aurora, CO 80014
Phone (720) 270-4681

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1386676419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19734 E UNION DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153486",
            "telephone_number": "303-501-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "303-501-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "01810",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "29021",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CLARK-HANIFY",
            "middle_name": "S",
            "credential": "MA, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.