Dorthea A. Clark, MA IN MENTAL HEALTH
NPI 1154196665ActiveIndividual· Counselor, Mental Health· Cheyenne, WY
Counselor, Mental Health (MA IN MENTAL HEALTH) in Cheyenne, Wyoming, licensed in WY, with an NPI issued in November 2023. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1154196665 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA IN MENTAL HEALTH |
| Sole proprietor | Yes |
| NPI issued | Nov 15, 2023 |
| Last updated in NPPES | Nov 15, 2023 |
| Certified by provider | Oct 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | PPC-1416 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WY) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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