MEDICARE: ANGELA S CLARK MA, LMHC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	01810	IA
2	101YP2500X	Professional Counselor	0012011	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29021	OTHER	IA	WELLMARK BLUE SHIELD

General Provider Information

NPI Number	:	1386676419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA S CLARK MA, LMHC, LPC

Provider Business Mailing Address
First Line	:	19734 E UNION DR
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-3486
Country	:	US
Telephone Number	:	303-501-7503
Fax Number	:

Provider Business Practice Location Address
First Line	:	20971 E SMOKY HILL RD STE 204
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-5187
Country	:	US
Telephone Number	:	303-501-7503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/10/2025

Similar Medicare Providers

1649129826 — ANTHONY SGORRANO
Practice Location Address:

20971 E SMOKY HILL RD STE 102
AURORA, CO
80015-5187

Practice Phone: 720-961-8539
Practice Fax:

1669321873 — CODY JAMES TONE
Practice Location Address:

20971 E SMOKY HILL RD STE 102
AURORA, CO
80015-5187

Practice Phone: 720-961-8539
Practice Fax:

1134078082 — CASEY BROWNE
Practice Location Address:

20971 E SMOKY HILL RD STE 204
AURORA, CO
80015-5187

Practice Phone: 720-530-1192
Practice Fax:

1689035362 — SONYA RIFFEL
Practice Location Address:

20971 E SMOKY HILL RD STE 204
AURORA, CO
80015-5187

Practice Phone: 303-949-6879
Practice Fax:

1760905764 — DR. KRISTA J DIVITTORE PSYD
Practice Location Address:

20971 E SMOKY HILL RD STE 204
AURORA, CO
80015-5187

Practice Phone: 720-347-8559
Practice Fax:

1912413717 — DAVID CAMPBELL RBT
Practice Location Address:

20971 E SMOKY HILL RD STE 102
AURORA, CO
80015-5187

Practice Phone: 720-961-8539
Practice Fax:

Directions to “ ANGELA S CLARK MA, LMHC, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.