Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760495329 Individual Practitioner Female Practitioner

Alice M Clark , MA, LPC, CACIII

Counselor - Professional • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Alice Clark, MA, LPC, CACIII is a registered healthcare professional specializing in Counselor - Professional in Boulder, CO. Practice services are available at 5377 MANHATTAN CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5377 Manhattan Cir
Suite 200

Boulder, CO 803034333

Telephone 3032637855
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
345 Specialists

Practicing in Boulder, CO (7054 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO 1687

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License CO 5499

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1134399256
Lori Saige , PT

Physical Therapist

NPI 1205972379

Physical Therapist

Charles Gold , PT

Physical Therapist

NPI 1295717916

Physical Therapist

Julie Rappaport

Counselor - Professional

NPI 1306293550
Judith Bolles , PT

Physical Therapist

NPI 1326580929

Physical Therapist

Dr. Jill Vidas , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1396765863

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2011

Registered at 5377 MANHATTAN CIR, SUITE 200, BOULDER, CO 803034333 (Tel: 3032637855)

📍
Updated Business Mailing Address March 21, 2011

Registered at 1786 YAUPON AVE, BOULDER, CO 803044364 (Tel: 3032637855)

👤
Provider Name / Credentials Updated March 21, 2011

Recorded as ALICE CLARK, MA, LPC, CACIII

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2011

Counselor (License #5499 in CO)

🟢
Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Alice Clark. Be the first to share your experience!

Sign in to leave a review for Alice Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1760495329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: March 21, 2011
Sole Proprietor: Yes

Mailing Address

1786 Yaupon Ave

Boulder, CO 803044364

Phone: 3032637855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.