MS. WENDY R CLUBB (NPI# 1316447956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316447956 |
| Entity Type | Individual |
| Full Name | MS. WENDY R CLUBB |
| Credential | LCDC |
| Practice Address |
4001 W 15th St Ste 465 Plano TX 75093-5845 |
| Practice Telephone | 9729851599 |
| Practice Fax Number | 9723964142 |
| Mailing Telephone | 9729851599 |
| Mailing Fax Number | 9723964142 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5488 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4001 W 15TH ST STE 465 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861634305 | Shana Kostick | Counselor | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2009-03-30 |
| 1619432853 | Natalie Low | Social Worker | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2019-02-01 |
| 1700316197 | Eileen Nicole Quinn | Counselor | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2017-06-18 |
| 1598162604 | Eleanor Goodwin | Counselor | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2014-12-04 |
| 1043622699 | Robert Smith | Counselor | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2014-05-29 |
| 1437411949 | Susan Pfau | Counselor | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2012-06-11 |
| 1659673952 | Patricia Romanish Hyland | Social Worker | 4001 W 15th St Ste 465, Plano, TX 75093-5845 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| 1730734997 | Heather L Blasingame | Counselor | 101 E Park Blvd Ste Office47, Plano, TX 75074-5483 | 2019-08-05 |
| 1982163788 | Kellesha K Stinson | Counselor | 6306 Windcrest Dr Apt 1733, Plano, TX 75024-3028 | 2019-03-19 |
| 1083107361 | Ricci Renee Criner | Counselor | 1201 Legacy Dr Apt 1912, Plano, TX 75023-8223 | 2018-06-11 |
| 1861939894 | Dov Rabinowitz | Counselor | 3900 W 15th St Ste 305, Plano, TX 75075-4725 | 2017-01-29 |
| 1932538022 | Jessica Fred | Counselor | 3131 Custer Rd Ste 265, Plano, TX 75075-4434 | 2013-11-08 |
| 1104063742 | Tommy L Blakeman | Counselor | 2600 Avenue K, Suite, Plano, TX 75074-5306 | 2009-01-20 |
| 1659535821 | Mark Gregory Sheppard I | Counselor | 3131 Custer Rd, 265, Plano, TX 75075-4419 | 2008-07-16 |
| 1205025863 | Felicia Lajoyce White-meyers | Counselor | 3801 W Spring Creek Pkwy Apt 814, Plano, TX 75023-3839 | 2007-10-19 |
| 1194848663 | Katherine M Morgan | Counselor | 2300 Tamarisk Ln, Plano, TX 75023-6423 | 2007-04-09 |
| Find all providers in PLANO | ||||
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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.