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MRS. ANGELA JOHAN CLARK LPC, LPCC, NCC
NPI 1013425578
Counselor - Professional in Grass Valley, CA

Active since January 18, 2018PECOS Enrolled
673 S AUBURN ST, GRASS VALLEY, CA 95945(530) 913-7221 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2023, Jan 18, 2018 (2 updates tracked since 2018).

About Mrs. Angela Johan Clark Lpc, Lpcc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANGELA JOHAN CLARK LPC, LPCC, NCC (NPI 1013425578) is an individual professional provider in Grass Valley, California, licensed in California (13646) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013425578
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANGELA JOHAN CLARKCredential: LPC, LPCC, NCC
Location Address673 S AUBURN STGrass Valley, CA 95945-7576
Mailing Address3121 Sweetwater Springs Blvd Apt 78Spring Valley, CA 91978-1530 · (816) 548-7673
Phone(530) 913-7221
Sole ProprietorNo
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1013425578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · 13646✔ Licensed in MO · 2017043804
673 S AUBURN ST, Grass Valley, CA 95945
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Angela Johan Clark Lpc, Lpcc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LEE MCGREGOR MSW, ACSW
Social Worker (Clinical)
673 S AUBURN ST
GRASS VALLEY, CA 95945
Nevada County (530) 913-5054
DANIELLE N DAVISCOURT AMFT, APCC
Counselor (Mental Health)
673 S AUBURN ST
GRASS VALLEY, CA 95945
Nevada County (530) 913-7221
SAMANTHA RASMUSEN LMFT 140113
Marriage & Family Therapist
673 S AUBURN ST
GRASS VALLEY, CA 95945
Nevada County (510) 541-8752
SIERRA THERESE BURTON MFT
Marriage & Family Therapist
673 S AUBURN ST
GRASS VALLEY, CA 95945
Nevada County (530) 913-5054
MRS. MARIYA MILAN LMFT
Marriage & Family Therapist
673 S AUBURN ST
GRASS VALLEY, CA 95945
Nevada County (530) 913-7221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Clark's NPI number?

The NPI number for Angela Clark is 1013425578. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Angela Clark located?

Angela Clark practices at 673 S Auburn St, Grass Valley, CA 95945. The listed phone number is (530) 913-7221.

What is Angela Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Angela Clark enrolled in Medicare?

Yes. Angela Clark is registered in the Medicare PECOS enrollment system.

What insurance does Angela Clark accept?

Health plans from UnitedHealthcare list Angela Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Clark was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.