MR. SHEDRICK HOOSIER (NPI# 1205149762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205149762 |
| Entity Type | Individual |
| Full Name | MR. SHEDRICK HOOSIER |
| Practice Address |
118 Union St Clarksville TN 37040-5115 |
| Mailing Address |
118 Union St. Clarksville TN 37040 |
| Practice Telephone | 9316478257 |
| Practice Fax Number | 9316472978 |
| Mailing Telephone | 9316478257 |
| Mailing Fax Number | 9316472978 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
118 UNION ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346378296 | Ellen Rae Porter | Adult Companion | 118 Union St, Clarksville, TN 37040-5115 | 2007-03-01 |
| 1508472077 | Ruth Ann Maduka | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2020-09-21 |
| 1922629815 | Hailey Breanne Warren | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2020-05-01 |
| 1831722941 | Marcie Theresa Wolter | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2020-02-17 |
| 1083263883 | Patricia Shepherd | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2019-09-05 |
| 1114589835 | Regina Yvonne Ferrell | Case Manager/Care Coordinator | 118 Union St, Clarksville, TN 37040-5115 | 2019-07-02 |
| 1588156673 | Sarah Gilleran | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2018-06-04 |
| 1992210538 | Breanna Kaitlyn Browder | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2017-12-05 |
| 1407383854 | Amber Marie Dunbar | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2017-05-16 |
| 1821541772 | Deasia Wright | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1295350338 | Lucinda Ann Earlywine I | Counselor | 1661 Baltimore Dr Apt D, Clarksville, TN 37043-6613 | 2020-06-15 |
| 1194376178 | Jerry Lewis | Counselor | 1606r W Cherry St, Clarksville, AR 72830-2506 | 2019-09-22 |
| 1639658321 | Fabulous Community Services, Inc. | Counselor | 120 West Dr, Clarksville, TN 37040-2109 | 2018-08-13 |
| 1447773577 | Amanda Lynn Bilano | Counselor | 840 Brooke Valley Trce, Clarksville, TN 37043-5934 | 2017-07-20 |
| 1861945750 | Kati Young | Counselor | 139 E Old Trenton Rd, Clarksville, TN 37043-5845 | 2016-07-27 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1710369731 | Kathryn Hadley | Counselor | 800 River Run, Clarksville, TN 37043-6041 | 2015-06-25 |
| 1598162950 | Dawn Hussey-riggs | Counselor | 3415 Durrett Dr, Clarksville, TN 37042-5650 | 2014-12-01 |
| 1467853457 | April M Brobston | Counselor | 120 Center Point Road, Suite 1, Clarksville, TN 37040 | 2014-09-09 |
| 1912262650 | Leap Organization | Counselor | 1860 Wilma Rudolph Blvd, Suite 100, Clarksville, TN 37040-6669 | 2012-07-09 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.