Corine Clark, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

C-APN.0104659-C-NP Issued in CO

Practice address

3401 Quebec St Ste 7600
Denver, CO 80207-2345

Phone

(970) 310-3406

NPI assigned

Feb 4, 2010

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.corineclark@146010.advancedmd-direct.com

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.

• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1588038681

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1558158584

  Psychiatric/Mental Health

  NPD
• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1689216772

  Psychiatric/Mental Health

  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1871563494
  NPD
• Catalyst Behavioral Services

  • Substance Abuse Rehabilitation Facility
  • Oklahoma City, OK
  • NPI 1477837276
  NPD (past)
• Drug Recovery Inc

  dba Catalyst Behavioral Services

  • Substance Abuse Rehabilitation Facility
  • Oklahoma City, OK
  • NPI 1215150644

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1881926616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 7600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072345",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 7600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072345",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CORINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0104659-C-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1140793",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Clark
• Caitlin Clark, MD
• Carly Clark, RDH
• Catherine E Clark, NP
• Cheryl Ann Clark, M.D.
• Cynthia Clark, MS OTR BCP
• Elisa Ann Clark, LPC
• Elizabeth Clark
• Elizabeth Clark, OT
• Emily Clark, M.A.

• Psychiatric/Mental Health Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.