Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATIE JOHNSON CLARK MA, LPC, LMHC
NPI 1104173970
Counselor - Professional in Camas, WA

Q: What is Katie Clark's NPI number?

The NPI number for Katie Clark is 1104173970. It was assigned to this individual provider in the NPPES registry on August 10, 2012. The provider is also known as Katharine Johnson Clark Ma, Lpc, Lmhc.

Q: What is Katie Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Clark was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since August 10, 2012

416 NE DALLAS ST STE 208, CAMAS, WA 98607(503) 781-1997(503) 200-1138 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Dec 15, 2016 (2 updates tracked since 2016).

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About Katie Johnson Clark Ma, Lpc, Lmhc NPPES

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

KATIE JOHNSON CLARK MA, LPC, LMHC (NPI 1104173970) is an individual professional provider in Camas, Washington, licensed in Oregon (C3201) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1104173970

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATIE JOHNSON CLARKCredential: MA, LPC, LMHC

Location Address416 NE DALLAS ST STE 208Camas, WA 98607-2189

Mailing Address416 Ne Dallas St Ste 208Camas, WA 98607-2189 · (503) 781-1997 · Fax (503) 200-1138

Phone(503) 781-1997

Fax(503) 200-1138

Sole ProprietorYes

Enumeration DateAugust 10, 2012

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1104173970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C3201

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 61095149 (WA)

416 NE DALLAS ST STE 208, Camas, WA 98607

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Other Names 1

Other Name (5)Katharine Johnson Clark Ma, Lpc, Lmhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and more.Insurance ›

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 Katie Clark's NPI number?

The NPI number for Katie Clark is 1104173970. It was assigned to this individual provider in the NPPES registry on August 10, 2012. The provider is also known as Katharine Johnson Clark Ma, Lpc, Lmhc.

Where is Katie Clark located?

Katie Clark practices at 416 NE Dallas St Ste 208, Camas, WA 98607. The listed phone number is (503) 781-1997.

What is Katie Clark's specialty?

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

What insurance does Katie Clark accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Katie 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 Katie Clark was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.