MARK DAVID ELLIOTT (NPI# 1134634884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134634884 |
| Entity Type | Individual |
| Full Name | MARK DAVID ELLIOTT |
| Credential | PCCI |
| Practice Address |
1711 3rd St Eureka CA 95501-0714 |
| Mailing Address |
Po Box 4198 Arcata CA 95518-4198 |
| Practice Telephone | 7072682800 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PCCI4283 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386182624 | Mark Elliott | Behavior Technician | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2017-02-07 |
| 1750766671 | Mark Elliott | Social Worker | 1006 E 39th St, Austin, TX 78751-5207 | 2015-07-21 |
| 1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
| 1043655442 | Mark A Elliott | Case Manager/Care Coordinator | 10770 N 46th St, Suite A - 400, Tampa, FL 33617-3442 | 2013-04-30 |
| 1922441997 | Mark David Elliott | Psychiatry & Neurology | 13001 E 17th Pl Ste F546, Aurora, CO 80045 | 2013-04-09 |
| 1245593573 | Mark Elliott | Emergency Medicine | 7600 Beechnut St, Houston, TX 77074 | 2012-06-21 |
| 1780965558 | Mark O Elliott | Chiropractor | 1532 Oakfield Dr, Ste A, Brandon, FL 33511-0829 | 2011-09-07 |
| 1396034559 | Mark Randall Elliott | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2011-03-28 |
| 1609902154 | Mark Lynn Elliott | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-02-26 |
| 1174609424 | Mark Ryan Elliott | Specialist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-10-30 |
| Street Address |
1711 3RD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-0714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749230 | Roxanne Halczak | Counselor | 1711 3rd St, Eureka, CA 95501-0714 | 2005-06-09 |
| 1548719214 | Ella Kane | Counselor | 1711 3rd St, 1711 3rd Street, Eureka, CA 95501-0714 | 2016-09-23 |
| 1497910020 | Erin Prichard | Case Manager/Care Coordinator | 1711 3rd St, Eureka, CA 95501-0714 | 2008-07-23 |
| 1790978534 | Sonya Dyani Levy-boyd | Social Worker | 1711 3rd St, Eureka, CA 95501-0714 | 2007-08-24 |
| 1134310030 | Christina Susanne Reihm | Social Worker | 1711 3rd St, Eureka, CA 95501-0714 | 2007-08-06 |
| 1114047339 | Cynthia Louise Amen | Registered Nurse | 1711 3rd St, Eureka, CA 95501-0714 | 2007-03-30 |
| 1386782738 | Martin Stephan | Marriage & Family Therapist | 1711 3rd St, Eureka, CA 95501-0714 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205233186 | Katie Woerner | Counselor | 427 F St Ste 229, Eureka, CA 95501 | 2014-11-20 |
| 1750539755 | Charla Rowe | Counselor | 930 6th St, Eureka, CA 95501 | 2008-09-03 |
| 1497938872 | Ruth M. Richards-schlarman | Counselor | 540 4th Ave. East, Eureka, MT 59917-0814 | 2007-12-09 |
| 1346422672 | Concepcion Leona Sousa | Counselor | 2145 Myrtle Ave, Eureka, CA 95501 | 2007-11-28 |
| 1407055924 | Michael T Countryman | Counselor | 412 N Saint Nicholas St, Eureka, KS 67045-1857 | 2007-07-13 |
| 1316161003 | Karen Kuulei Fowler | Counselor | 1650 Sinclair Creek Rd, Eureka, MT 59917-9654 | 2007-04-12 |
| 1114054368 | Linda E. Dean | Counselor | 2002 Russ St, Eureka, CA 95501-4718 | 2007-02-27 |
| 1578699260 | Redwood Community Action Agency | Counselor | 1100 California Street, Eureka, CA 95501 | 2007-02-26 |
| 1912040502 | Kimberly Jean Herkert | Counselor | 3525 Park St, Eureka, CA 95501-1549 | 2007-02-14 |
| 1184765265 | Jessica Ada Duke | Counselor | 134 D St, Suite 301, Eureka, CA 95501-0455 | 2007-02-09 |
| Find all providers in EUREKA | ||||
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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.