MR. BRAD CLINTON PARKS (NPI# 1003147893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003147893 |
| Entity Type | Individual |
| Full Name | MR. BRAD CLINTON PARKS |
| Practice Address |
824 E 4th St Pittsburg KS 66762-4234 |
| Mailing Address |
1102 South Rouse Pittsburg KS 66762 |
| Practice Telephone | 6207045277 |
| Mailing Telephone | 6202322593 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
82 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184152332 | Brad William Parks | Social Worker | 510 E Sola St, Santa Barbara, CA 93103-2211 | 2017-06-01 |
| Street Address |
824 E 4TH ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447684931 | Michelle L Coulter Morrell | Social Worker | 824 E 4th St, Pittsburg, KS 66762-4234 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1790340636 | Todd Walter Schmidt | Counselor | 834 E 12th St, Pittsburg, CA 94565-2711 | 2019-05-06 |
| 1750810933 | Noble Clinic, LLC | Counselor | 1205 Mill Rd, Pittsburg, KS 66762-7318 | 2017-06-09 |
| 1053765115 | Laura Bridge | Counselor | 2127 Lakeview Cir, Pittsburg, CA 94565 | 2016-04-14 |
| 1346620788 | Rajwant Lally | Counselor | 2211 Santa Maria Dr, Pittsburg, CA 94565-4353 | 2015-06-01 |
| 1669893053 | Nancy Mattingly | Counselor | 180 E Leland Rd Ste A&b, Pittsburg, CA 94565-4949 | 2014-01-02 |
| 1891127247 | Ujima Family Recovery Services | Counselor | 369 E Leland Rd, Pittsburg, CA 94565-4911 | 2013-08-07 |
| 1245573823 | Melanie A Byers | Counselor | 1251 California Ave, Ste 600, Pittsburg, CA 94565-4181 | 2013-04-01 |
| 1962787267 | Cheryl Marie Jordan | Counselor | 10 Buena Vis, Pittsburg, CA 94565-5705 | 2011-10-18 |
| 1538479399 | New Connections | Counselor | 535 Harbor, Pittsburg, CA 94565 | 2010-10-14 |
| Find all providers in PITTSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.