Active NPI
Kevin Clark, LPC
- Professional Counselor
- Arvada, CO
National Provider Identifier
1992552269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0020606
- Practice address
- 5310 Ward Rd Ste 110
Arvada, CO 80002-1829 - Phone
- (720) 898-3208
- NPI assigned
- May 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0020606 | CO | Primary |
Addresses
Primary practice location
5310 Ward Rd Ste 110
Arvada, CO 80002-1829
Mailing address
5310 Ward Rd Ste 110
Arvada, CO 80002-1829
Phone (720) 898-3208
Other practice location 1
8461 Turnpike Dr Ste 203
Westminster, CO 80031-4379
Phone (720) 627-7734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000231862 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020606 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 70 West Counseling | Past | Accepting new patients | |
| 70 West Counseling | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Arvada, CO
- NPI 1225710791
-
- Mental Health Counselor
- Arvada, CO
- NPI 1548060353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1992552269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 WARD RD STE 110",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021829",
"telephone_number": "720-898-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 WARD RD STE 110",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021829",
"telephone_number": "720-898-3208"
}
],
"practiceLocations": [
{
"address_1": "8461 Turnpike Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800314379",
"country_code": "US",
"telephone_number": "720-627-7734",
"fax_number": "303-265-9247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "KEVIN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0020606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000231862",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.