CLARISSE MARIE CHADWICK (NPI# 1114105475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105475 |
| Entity Type | Individual |
| Full Name | CLARISSE MARIE CHADWICK |
| Other Name | CLARE MARIE CHADWICK |
| Credential | LPC |
| Practice Address |
71 N 490 W American Fork UT 84003-2264 |
| Practice Telephone | 8017637775 |
| Mailing Telephone | 8017637775 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 5142103-6004 | UT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5142103-6004 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5142103-6004 | UT | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
5142103-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
71 N 490 W |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962442830 | James Curtis Otteson | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2006-06-07 |
| 1144796921 | Holly Martinez | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2018-10-18 |
| 1083180863 | Terri Hatch | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2018-10-18 |
| 1053887851 | Katie Borski | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2018-10-18 |
| 1033623004 | Kimberly Schneider | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2017-11-28 |
| 1285985424 | Gwen D Laws | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2012-09-27 |
| 1164733994 | Michael S Thompson | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2010-06-26 |
| 1720399868 | Christine Gilbert | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2010-06-23 |
| 1689806325 | Sean Colin Baenziger | Social Worker | 71 N 490 W, American Fork, UT 84003-2264 | 2009-08-13 |
| 1760629166 | Christina E Campbell | Social Worker | 71 N 490 W, American Fork, UT 84003-2264 | 2009-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1023153004 | Christine Stutz Hurst | Counselor | 663 E 220 N, American Fork, UT 84003-2050 | 2007-02-20 |
| 1720131899 | Jennifer Edith James | Counselor | 814 E. Bamberger Drive Suite B, Psychological Assessment & Treatment Specialists, Inc., American Fork, UT 84003 | 2007-01-19 |
| 1003465956 | Chelsey Wood | Counselor | 433 S 500 E, American Fork, UT 84003-2527 | 2019-09-04 |
| 1124590187 | Logan Roberts | Counselor | 995 E 1100 N, American Fork, UT 84003-3226 | 2018-12-31 |
| 1033687504 | Rk General Consultants, LLC | Counselor | 837 N 500 W, American Fork, UT 84003-5100 | 2018-11-02 |
| 1144796921 | Holly Martinez | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2018-10-18 |
| 1083180863 | Terri Hatch | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2018-10-18 |
| 1053887851 | Katie Borski | Counselor | 71 N 490 W, American Fork, UT 84003-2264 | 2018-10-18 |
| 1194223859 | Kyle Lowe | Counselor | 995 E 1100 N, American Fork, UT 84003-3226 | 2018-01-29 |
| Find all providers in AMERICAN FORK | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
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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.