Catherine Anne Clark, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0136420 Issued in VT

Practice address

692 Elm St
Derby Line, VT 05830-8730

Phone

(802) 673-8430

NPI assigned

Feb 11, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anew Counseling

  • Mental Health Counselor
  • Derby Line, VT
  • NPI 1043015274
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1659186138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 ELM ST",
            "city": "DERBY LINE",
            "state": "VT",
            "postal_code": "058308730",
            "telephone_number": "802-673-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 ELM ST",
            "city": "DERBY LINE",
            "state": "VT",
            "postal_code": "058308730",
            "telephone_number": "802-673-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Main St Ste 219",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "058556105",
            "country_code": "US",
            "telephone_number": "802-673-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew Counseling
• Kristin Michelle Beswick
• Briana Bonnell
• Border Pediatrics
• Browns Drug Store
• Myra Gene Ann Degre, PT, DPT
• Derby Line Ambulance
• Miriam Blodgett Tatum, M.D.
• Vermont Catholic Charities, Inc. (Michaud Memorial Manor)
• Cameron Ward, LMSW

• Mental Health Counselor in Derby Line, VT
• Providers in Derby Line, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.