Brenda F Clark-Dandridge, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0013218 Issued in CO

Practice address

13693 E Iliff Ave
Suite 112
Aurora, CO 80014-6527

Phone

(720) 808-0924

NPI assigned

Aug 15, 2016

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  Medicare reassignment NPD
• Element of Discovery, LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1548809908
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1871048223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470773",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800470773",
            "telephone_number": "720-808-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13693 E ILIFF AVE",
            "address_2": "SUITE 112",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146527",
            "telephone_number": "720-808-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-DANDRIDGE",
        "first_name": "BRENDA",
        "middle_name": "F",
        "credential": "MA  LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Center Chiropractic,Inc.
• City Place Modern Dentistry, LLP
• Citywide Ambulance, LLC
• Elizabeth Clain, MD
• Jill Dewitt Clapham, RN, CPNP, MS
• Abigail Clark, MD
• Angela S Clark, MA, LMHC, LPC
• Beth E Clark, PA
• Caroline Clark
• Catherine Anne Clark, PCNS-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.

Verify at the official NPI Registry.