1. Home
  2. Directory
  3. Wyoming
  4. Cheyenne
  5. Counselor
  6. NPI Profile

DORTHEA A CLARK MA IN MENTAL HEALTH
NPI 1154196665
Counselor - Mental Health in Cheyenne, WY

Active since November 15, 2023
4025 RAWLINS ST, CHEYENNE, WY 82001(307) 426-4797 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dorthea A Clark Ma In Mental Health NPPES

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

DORTHEA A CLARK MA IN MENTAL HEALTH (NPI 1154196665) is an individual mental health provider in Cheyenne, Wyoming, licensed in Wyoming (PPC-1416) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1154196665
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDORTHEA A CLARKCredential: MA IN MENTAL HEALTH
Location Address4025 RAWLINS STCheyenne, WY 82001-1900
Mailing Address4025 Rawlins StCheyenne, WY 82001-1900 · (307) 631-7381
Phone(307) 426-4797
Sole ProprietorYes
Enumeration DateNovember 15, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1154196665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WY · PPC-1416
4025 RAWLINS ST, Cheyenne, WY 82001
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JEFFREY FOSTER
Case Manager/Care Coordinator
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 763-2407
BECKY MARIE LAURIDSEN PPC, NCC
Counselor (Mental Health)
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 426-4798
ERIC Z WILLIAMS LPC
Counselor (Professional)
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 426-4797
MEGAN GUERRIER
Marriage & Family Therapist
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 426-4081
MS. JENNIFER LYNN MUMAUGH LCSW
Social Worker (Clinical)
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 426-4798
TYLER BARTOW
Counselor (Professional)
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 427-4797
DANIEL A BORT LPC, LAT
Counselor (Mental Health)
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 426-4798
MRS. STEPHANIE LIN KELLER CSW-099
Social Worker
4025 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 426-4798

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 Dorthea Clark's NPI number?

The NPI number for Dorthea Clark is 1154196665. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Dorthea Clark located?

Dorthea Clark practices at 4025 Rawlins St, Cheyenne, WY 82001. The listed phone number is (307) 426-4797.

What is Dorthea Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dorthea Clark was last updated on November 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.