Individual provider Active NPI

Pamela Clark, LCMHC

  • Mental Health Counselor
  • Burlington, VT
National Provider Identifier
1922940246
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0137150 Issued in VT
Practice address
43 Brookes Ave
Burlington, VT 05401-3327
Phone
(802) 399-0157
NPI assigned
Apr 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0137150 VT Primary

Addresses

Primary practice location

43 Brookes Ave
Burlington, VT 05401-3327

Mailing address

43 Brookes Ave
Burlington, VT 05401-3327
Phone (802) 399-0157

Other practice location 1

337 College St Ste 202
Burlington, VT 05401-8344
Phone (802) 399-0157

Other names 1

  • Pamela Nauda Clark Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 12, 2026 through Apr 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068.0137150VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Nauda Clark Ma LLC Mental Health Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1922940246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROOKES AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013327",
            "telephone_number": "802-399-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROOKES AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013327",
            "telephone_number": "802-399-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 College St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054018344",
            "country_code": "US",
            "telephone_number": "802-399-0157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAMELA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0137150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CLARK",
            "middle_name": "NAUDA",
            "credential": "LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.