IndividualActive
Clark Carlisle
NPI 1104921675 · Mental Health Counselor · Greeley, CO
Clark Carlisle is a Mental Health Counselor provider in Greeley, CO (NPI 1104921675).
Provider details
- NPI number
- 1104921675
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1306 11th Ave
Greeley, CO 80631-3835
Phone: (970) 347-2120
Fax: (970) 353-3906
Street-level locationGet directions
Mailing address
1306 11th Ave
Greeley, CO 80631-3835
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2008-03-13
Frequently asked questions
- What is Clark Carlisle's NPI number?
- Clark Carlisle's National Provider Identifier (NPI) is 1104921675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Carlisle's specialty?
- Clark Carlisle is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Clark Carlisle located?
- Clark Carlisle's practice location on file with NPPES is 1306 11th Ave, Greeley, CO 80631-3835.
- What is Clark Carlisle's phone number?
- The practice phone number listed in the NPPES registry for Clark Carlisle is (970) 347-2120.
- Is Clark Carlisle's NPI active?
- Yes — Clark Carlisle's NPI (1104921675) is active in the NPPES registry as of the last update on 2008-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.