Kyle Amber Clark, LCPC, DCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4454 Issued in MD

Practice address

3059 S Ogden St
Englewood, CO 80113-1749

Phone

(720) 642-6880

NPI assigned

Mar 25, 2013

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

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.

• National Deaf Therapy

  • Mental Health Counselor
  • Germantown, MD
  • NPI 1740798834
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609118975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6198 CHRISTIAN KEMP DR N",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032718",
            "telephone_number": "240-720-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 S OGDEN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801131749",
            "telephone_number": "720-642-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11110 Whisperwood Ln",
            "address_purpose": "LOCATION",
            "city": "N Bethesda",
            "state": "MD",
            "postal_code": "208523668",
            "country_code": "US",
            "telephone_number": "240-454-3923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KYLE AMBER",
        "name_prefix": "Ms.",
        "credential": "LCPC, DCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "123687",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Clancy
• Jonathan Newell Clapp, M.D.
• Clarity Rehabilitation, PLLC
• Ashley Clark, PTA
• Brett Colby Clark, MD
• Stacie Rebecca Clay, PMHNP-BC
• Julia C Clemons
• Susan Mary Clingman, RMT
• Michael W Cluck, M.D., PH.D.
• CNS Medical Group, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.