LONNIE CLARK (NPI# 1134543226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134543226 |
Entity Type | Individual |
Full Name | LONNIE CLARK |
Credential | CADC I |
Practice Address |
695 Mistletoe Rd Ste H Ashland OR 97520-9552 |
Mailing Address |
201 W Main St Ste 3d Medford OR 97501-2744 |
Practice Telephone | 5414828906 |
Mailing Telephone | 5417792393 |
Enumeration Date | 2014-02-10 |
Last Update Date | 2014-02-10 |
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) |
13-12-10 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598777450 | Lonnie W. Clark | Nurse Anesthetist, Certified Registered | 16420 W Us Highway 24, Woodland Park, CO 80863-8760 | 2006-08-12 |
Street Address |
695 MISTLETOE RD STE H |
City | ASHLAND |
State | OR |
Zip Code | 97520-9552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558749119 | Nickie Lunt | Counselor | 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 | 2015-05-14 |
1124405998 | Debra Scionti | Counselor | 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 | 2015-04-30 |
1225432115 | Kaitlyn Nero | Counselor | 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 | 2014-10-21 |
1225452238 | Paul Janke | Counselor | 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 | 2014-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
Find all providers in zip 97520 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861923484 | Lucie Scheuer | Counselor | 66 Crocker St, Ashland, OR 97520-8786 | 2017-03-24 |
1316396724 | Lori Wetzel | Counselor | 3118 Main St, Ashland, PA 17921-9433 | 2016-06-07 |
1285097204 | Krystina Carnahan | Counselor | 326 Long St, Ashland, KY 41101-2490 | 2016-03-29 |
1669880423 | Michelle Moore | Counselor | 302 E Hersey St Ste 8, Ashland, OR 97520-1200 | 2014-07-24 |
1255752697 | Kolpia Counseling Service | Counselor | 302 E Hersey St Ste 1, Ashland, OR 97520-1200 | 2014-01-03 |
1306184999 | Michael Hottman | Counselor | 12390 Starting Gate Way, Ashland, VA 23005-3003 | 2013-01-17 |
1821357518 | Charles C Vaughn | Counselor | 1526 St. Rt. 603, Ashland, OH 44805 | 2012-05-15 |
1982998803 | Lisa M Goodan | Counselor | 700 Wheatley Rd, Ashland, KY 41101-2348 | 2011-06-08 |
1871613943 | Randall P. Spangle | Counselor | 502 Main St W Ste 305, Ashland, WI 54806-1512 | 2007-03-30 |
1760575500 | Kolpia Counseling Services Inc | Counselor | 611 Siskiyou Blvd, Suite 8, Ashland, OR 97520-2151 | 2006-10-02 |
Find all providers in ASHLAND |
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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.