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DORETHA L CLARK
NPI 1336755511
Counselor in Aurora, IL

Active since September 22, 2020
1230 N HIGHLAND AVE, AURORA, IL 60506(630) 966-4301(630) 859-2994 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Doretha L Clark NPPES

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

DORETHA L CLARK (NPI 1336755511) is an individual counselor in Aurora, Illinois and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1336755511
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDORETHA L CLARK
Location Address1230 N HIGHLAND AVEAurora, IL 60506-1401
Mailing Address1230 N Highland AveAurora, IL 60506-1401 · (630) 966-4301 · Fax (630) 859-2994
Phone(630) 966-4301
Fax(630) 859-2994
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1336755511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1230 N HIGHLAND AVE, Aurora, IL 60506
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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.

MS. CHERYL BANASIAK
Counselor
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 966-4305
WHITNEY HUSSONG M.S.W
Social Worker
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 859-1291
LASDAVAHN ASHLEY VONGPHAKDY
Counselor (Mental Health)
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 966-4331
SHENNA HILL
Counselor (Mental Health)
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 966-4000
CARLA POINDEXTER
Social Worker (Clinical)
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 859-1291
AMY CHALLY LCSW
Social Worker (Clinical)
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 859-1291
MS. JENNIFER LOSURDO
Counselor
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 966-4305
MS. CATHY ANN MONTGOMERY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1230 N HIGHLAND AVE
AURORA, IL 60506
Kane County (630) 966-4139

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 Doretha Clark's NPI number?

The NPI number for Doretha Clark is 1336755511. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Doretha Clark located?

Doretha Clark practices at 1230 N Highland Ave, Aurora, IL 60506. The listed phone number is (630) 966-4301.

What is Doretha Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Doretha Clark was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.