Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Paul Lark, LPC

Individual provider Professional Counselor · NPI 1962087445

Justin Paul Lark, LPC is a Mental Health Counselor in Kansas City, Missouri. Qualified in 2020, 6 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
6
Licensed in
CO, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6300 N Lucerne Ave
Kansas City, MO 64151-3199
Phone: (505) 231-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2020041662 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 0018890 (CO)

Record details

NPI number1962087445
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 16, 2021
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Sondermind Provider Network LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1258 clinicians in the practice; 12 are shown here.

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