CLARK MAXON (NPI# 1043820673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043820673 |
| Entity Type | Individual |
| Full Name | CLARK MAXON |
| Practice Address |
6180 Lehman Dr Colorado Springs CO 80918-3444 |
| Mailing Address |
2325 Distinctive Dr Colorado Springs CO 80920-3803 |
| Practice Telephone | 7194926186 |
| Mailing Telephone | 7194926186 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
6180 LEHMAN DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346544129 | Desirre C S Andrews | Midwife | 6180 Lehman Dr, Suite 103, Colorado Springs, CO 80918-3444 | 2011-01-07 |
| 1962012500 | Lauren Johnson | Counselor | 6180 Lehman Dr, Colorado Springs, CO 80918-3444 | 2020-08-07 |
| 1366077364 | Aimee C Jackson | Counselor | 6180 Lehman Dr, Colorado Springs, CO 80918-3444 | 2020-03-10 |
| 1740831544 | Shauna Gossenauer | Counselor | 6180 Lehman Dr, Colorado Springs, CO 80918-3444 | 2019-09-23 |
| 1730749581 | Kathleen June Karls | Counselor | 6180 Lehman Dr, Colorado Springs, CO 80918-3444 | 2019-06-14 |
| 1275192619 | Tara Rae Behr | Counselor | 6180 Lehman Dr, Colorado Springs, CO 80918-3444 | 2019-06-10 |
| 1710542212 | Julia Watson | Counselor | 6180 Lehman Dr, Colorado Springs, CO 80918-3444 | 2019-05-09 |
| 1619353562 | Rita J Petersen | Counselor | 6180 Lehman Dr, Suite 100, Colorado Springs, CO 80918-3444 | 2015-08-03 |
| 1790161859 | Cassie Carrigan | Counselor | 6180 Lehman Dr, Suite #100, Colorado Springs, CO 80918-3444 | 2015-07-30 |
| 1356726327 | Jan Rosko | Counselor | 6180 Lehman Dr, Suite 100, Colorado Springs, CO 80918-3444 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1437759073 | Haley Marie Rosario | Counselor | 6535 Sam Houston Loop Apt D, Colorado Springs, CO 80902-4723 | 2020-10-30 |
| 1043819204 | Whitney Moore | Counselor | 5360 N Academy Blvd Ste 100, Colorado Springs, CO 80918-4006 | 2020-10-20 |
| 1013516392 | Step Forward Counseling Services | Counselor | 4145 Sudbury Rd, Colorado Springs, CO 80908-1336 | 2020-10-19 |
| 1306444393 | Anthonie Arend Van Zoeren | Counselor | 1257 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3561 | 2020-10-13 |
| 1093321804 | Michelle Vela | Counselor | 8444 Grand Peak Summit Vw, Colorado Springs, CO 80920-7158 | 2020-09-17 |
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1811501620 | Cheyenne Mountain Therapy, LLC | Counselor | 1767 S 8th St Ste 120, Colorado Springs, CO 80905-1972 | 2020-08-31 |
| 1437762838 | Tanya Davie | Counselor | 3110 Hudson St, Colorado Springs, CO 80910-2943 | 2020-08-25 |
| 1780296657 | Yhatisse Michelle Reynolds- Jones | Counselor | 6942 Bitterroot Dr, Colorado Springs, CO 80923-7328 | 2020-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
Please comment or provide details below to improve the information on CLARK MAXON.
| 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.