MACKENZIE CLARK LPC
NPI 1265048391
Counselor - Professional in Lakewood, CO

Q: What is Mackenzie Clark's NPI number?

The NPI number for Mackenzie Clark is 1265048391. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Q: What is Mackenzie 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 Mackenzie Clark was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 23, 2020PECOS Enrolled

11290 W ALAMEDA AVE STE 160, LAKEWOOD, CO 80226(303) 691-6095 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mackenzie Clark Lpc NPPES

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

MACKENZIE CLARK LPC (NPI 1265048391) is an individual professional provider in Lakewood, Colorado, licensed in Colorado (LPC.0022884) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265048391

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMACKENZIE CLARKCredential: LPC

Location Address11290 W ALAMEDA AVE STE 160Lakewood, CO 80226-2510

Mailing Address11290 W Alameda Ave Ste 160Lakewood, CO 80226-2510 · (303) 691-6095

Phone(303) 691-6095

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 23, 2020

Last NPPES UpdateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1265048391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0022884

11290 W ALAMEDA AVE STE 160, Lakewood, CO 80226

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Clark Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274020854

PECOS Enrollment IDI20251016002567

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.