Active NPIIndividual providerSole proprietor

Catherine A Clark, LCMHC

Counselor, Mental Health in Derby Line, Vermont

NPI Number1659186138
Practice location
692 Elm St, Derby Line, VT 05830-8730
Fax
—
Last updated
February 11, 2025

Catherine Anne Clark is a Counselor, Mental Health based in Derby Line, VT. Catherine Anne Clark practices in Derby Line, VT and has the professional credentials of LCMHC. The NPI Number for Catherine Anne Clark is 1659186138 and holds a License No. 068.0136420 (VT). The current practice location address for Catherine Anne Clark is 692 Elm St, Derby Line, VT 05830-8730 and can be reached out via phone at 802-673-8430.

Provider Profile Details

NPI Number
1659186138
Provider Name
Catherine Anne Clark
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
692 Elm St, Derby Line, VT 05830-8730
Phone Number
802-673-8430
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 11, 2025
Last Update Date
February 11, 2025
Certification Date
February 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
692 Elm St
Derby Line, VT 05830-8730
State
Vermont
Zip
05830-8730
Phone Number
802-673-8430
Derby Line, VT 05830Get directions →

Provider Business Mailing Address Details

Address
692 Elm St
Derby Line, VT 05830-8730
City
Derby Line
State
VT
Zip
05830-8730
Phone Number
802-673-8430

License Information

License Number
068.0136420
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Catherine A Clark, LCMHC?

The NPI number of Catherine A Clark, LCMHC is 1659186138. It was assigned on February 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Catherine A Clark, LCMHC?

Catherine A Clark, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0136420.

Where does Catherine A Clark, LCMHC practice?

The practice location is 692 Elm St, Derby Line, VT 05830-8730. The office can be reached at 802-673-8430 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659186138 directly on the NPPES registry website.

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