MR. RICHARD CLARK (NPI# 1275063737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275063737 |
| Entity Type | Individual |
| Full Name | MR. RICHARD CLARK |
| Practice Address |
1014 Main Street Vancouver WA 98660 |
| Practice Telephone | 3606951014 |
| Practice Fax Number | 3607501374 |
| Mailing Telephone | (360) 695-1014 |
| Mailing Fax Number | 3607501374 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| Street Address |
1014 MAIN STREET |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053347070 | David Cameron Hunter | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2006-06-23 |
| 1215400296 | Lynn Anne Roberts | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2019-01-02 |
| 1174099881 | Shelby Massingale | 1014 Main Street, Vancouver, WA 98660 | 2018-10-19 | |
| 1568942415 | Nicole Rose Kennedy | Student in an Organized Health Care Education/Training Program | 1014 Main Street, Vancouver, WA 98660 | 2018-08-20 |
| 1053820498 | Kalinda R Ferguson | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2017-09-28 |
| 1154851574 | Aimee Amodio | Social Worker | 1014 Main Street, Vancouver, WA 98660 | 2017-06-18 |
| 1508307075 | Ezekiel Brouhard | Assistant Behavior Analyst | 1014 Main Street, Vancouver, WA 98660 | 2017-03-16 |
| 1427508639 | Samuel Moore | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-10-12 |
| 1144774548 | Kayla Lindsay Klemm | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-08-15 |
| 1316301682 | Leah Blanton | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735095 | Meghann Smith | Marriage & Family Therapist | 12800 Ne 4th St Apt 23, Vancouver, WA 98684-5095 | 2018-10-11 |
| 1033576285 | Joshua Michael Schnellbach | Marriage & Family Therapist | 11801 Ne 65th St Ste A, Vancouver, WA 98662-5527 | 2016-01-19 |
| 1225403454 | Refresh Therapy, Inc | Marriage & Family Therapist | 1319 Ne 134th St # 111, Vancouver, WA 98685-2717 | 2015-12-14 |
| 1821472606 | Denise Burningham | Marriage & Family Therapist | 4601 E 18th St Apt 167, Vancouver, WA 98661-6251 | 2015-07-12 |
| 1174954911 | Susan Louise Kelsay | Marriage & Family Therapist | 201 Se 124th Ave., #203, Vancouver, WA 98684 | 2013-12-04 |
| 1659713444 | Integrity Counseling | Marriage & Family Therapist | 201 Se 124th Ave Ste 203, Vancouver, WA 98684-6067 | 2013-07-23 |
| 1376880518 | Ezra Kilfoil | Marriage & Family Therapist | 1104 Main St Ste 440, Vancouver, WA 98660-2955 | 2013-01-08 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1235494477 | Breya Chantarabunchorn | Marriage & Family Therapist | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2012-07-12 |
| 1033483391 | Therapeutic Change | Marriage & Family Therapist | 3305 Main St Ste 24, Vancouver, WA 98663-2234 | 2012-03-05 |
| Find all providers in VANCOUVER | ||||
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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.