MR. ANDREW J CLARK (NPI# 1316215528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316215528 |
| Entity Type | Individual |
| Full Name | MR. ANDREW J CLARK |
| Practice Address |
1219 Oak Knoll Rd Santa Maria CA 93455-4303 |
| Mailing Address |
Po Box 2531 Santa Maria CA 93457-2531 |
| Practice Telephone | 8052685218 |
| Mailing Telephone | 8052685218 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LEP3168 | CA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
LEP3168 | CA | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
LEP3168 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 Farnel Rd, Suite A, Santa Maria, CA 934584960 | 8059220334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288563 | Andrew Byler Clark | Student in an Organized Health Care Education/Training Program | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2019-04-11 |
| 1588156509 | Andrew Jeffrey Clark | Chiropractor | 6304 College Blvd, Overland Park, KS 66211-1506 | 2018-06-05 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1760683635 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 109 Pine Knoll Dr, 347, Ridgeland, MS 39157-1350 | 2007-05-30 |
| 1912988635 | Andrew Robert Clark | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-09 |
| 1093374936 | Andrew Elton Clark | Spec/Tech, Pathology | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2019-06-12 |
| 1679034508 | Andrew Jeffrey Clark | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-25 |
| 1447745336 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 | 2018-06-25 |
| 1609365352 | Andrew Thomas Clark | Registered Nurse | 54 New Hyde Park Rd, Garden City, NY 11530 | 2018-05-08 |
| Street Address |
1219 OAK KNOLL RD |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| 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 |
|---|---|---|---|---|
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| 1992257570 | Brianna Arreola | Counselor | 205 E. Newlove Dr., Apt. E, Santa Maria, CA 93454 | 2016-10-28 |
| 1922468768 | Elements Counseling Group | Counselor | 301 S Miller St Ste 108, Santa Maria, CA 93454-5243 | 2016-03-04 |
| 1609278571 | Elizabeth Cansino | Counselor | 332 Valerie St, Santa Maria, CA 93454-4824 | 2014-09-22 |
| 1386071827 | Jonathan Bentley Gee | Counselor | 1145 E Clark Ave Ste K, Santa Maria, CA 93455-5173 | 2013-09-30 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1962607853 | Vincent S. Giordano | Counselor | 1604 Cat Lane, Santa Maria, CA 93454 | 2007-06-19 |
| 1427265107 | Ivonne Margarita Slim-sylling | Counselor | 1410 S Broadway, Suite B, Santa Maria, CA 93454-6971 | 2007-05-16 |
| 1538291836 | David Nicola | Counselor | 117 Tunnel Rd W, Santa Maria, CA 93454 | 2007-03-12 |
| 1770619421 | Nece Ahumada-hernandez | Counselor | 210 E Enos Dr Ste A, Santa Maria, CA 93454 | 2007-02-26 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
Please comment or provide details below to improve the information on MR. ANDREW J CLARK.
| 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.