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KATELYN E CLARK LAC
NPI 1861093049
Counselor - Addiction (Substance Use Disorder) in Lakewood, CO

Active since November 04, 2020PECOS EnrolledAccepts Medicare Assignment
8805 W 14TH AVE STE 300, LAKEWOOD, CO 80215(720) 943-7080(720) 316-7577 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2023, Nov 4, 2020 (2 updates tracked since 2020).

About Katelyn E Clark Lac NPPES

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

KATELYN E CLARK LAC (NPI 1861093049) is an individual addiction (substance use disorder) provider in Lakewood, Colorado, licensed in Colorado (ACD.0002029) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861093049
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATELYN E CLARKCredential: LAC
Location Address8805 W 14TH AVE STE 300Lakewood, CO 80215-4848
Mailing Address8805 W 14th Ave Ste 300Lakewood, CO 80215-4848 · (720) 943-7080 · Fax (720) 316-7577
Phone(720) 943-7080
Fax(720) 316-7577
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 4, 2020
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1861093049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002029
Also ListedCounselorTaxonomy 101Y00000X
8805 W 14TH AVE STE 300, Lakewood, CO 80215
Open in Google Maps ↗

Secondary Practice Location 1

Location 17431 Fortman AveFountain, CO 80817-1403 · Phone (142) 526-9720

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn E Clark Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022555440
PECOS Enrollment IDI20240802002992
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.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Higher Sights Counseling
6.1 mi
Community/Behavioral Health
5353 W DARTMOUTH AVE STE 305
Denver, CO 80227
  • Reassigned Medicare billing, Colorado enrollment
  • 105 clinicians in this Medicare group
NPI 1477161495 (720) 943-7080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

TROY ALAN SCHIMEK LPC
Counselor
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 943-7080
TIFFANY NICHOLS CHISENHALL MSW, SWC
Social Worker (Clinical)
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 470-0382
MARK PUTNOY
Counselor (Addiction (Substance Use Disorder))
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 943-7080
LINDSAY K BISHOP LCSW
Social Worker (Clinical)
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 943-7080
JASMIN IVONNE GONZALEZ
Counselor (Mental Health)
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 440-2025
SAMANTHA WHITE
Counselor (Mental Health)
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 943-7080
MARIANNE ROSSI STRAUMAN APN
Nurse Practitioner (Family)
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 943-7080
ABBY LYNN MOLL
Counselor (Professional)
8805 W 14TH AVE STE 300
LAKEWOOD, CO 80215
Jefferson County (720) 943-7080

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 Katelyn Clark's NPI number?

The NPI number for Katelyn Clark is 1861093049. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Where is Katelyn Clark located?

Katelyn Clark practices at 8805 W 14th Ave Ste 300, Lakewood, CO 80215. The listed phone number is (720) 943-7080.

What is Katelyn Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Katelyn Clark enrolled in Medicare?

Yes. Katelyn Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katelyn Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Clark reassigns Medicare benefits to Higher Sights Counseling (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Clark accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Katelyn 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 Katelyn Clark was last updated on February 28, 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.