Elizabeth Clark, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64835 Issued in TX

Practice address

4200 Ridgecrest Cir Ste a-6
Amarillo, TX 79109-5416

Phone

(806) 443-5362

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jan 6, 2026 through Jan 6, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amarillo Professional Counseling and Consultation PLLC

  • Professional Counselor
  • Amarillo, TX
  • NPI 1518401041
  NPD (past) Authorized official

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1699217927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 WHILE A WAY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095750",
            "telephone_number": "806-443-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 RIDGECREST CIR STE A-6",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095416",
            "telephone_number": "806-443-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Cirone, RNFA
• City of Amarillo (Amarillo Public Health)
• Abby Sabrina Clark, MD
• Anita M Clark, FNP-C
• Crandon F Clark, MD
• Jarrod Clark, PHARMD
• Kathleen Anne Clark, M.D.
• Summer Clark, M.D.
• Terry Clark, PHARM.D.
• Thomas R Clark, DC, CCSP, PA

• Professional Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.