DORETHA L CLARK (NPI# 1336755511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336755511 |
Entity Type | Individual |
Full Name | DORETHA L CLARK |
Practice Address |
1230 N Highland Ave Aurora IL 60506-1401 |
Practice Telephone | 6309664301 |
Practice Fax Number | 6308592994 |
Mailing Telephone | 6309664301 |
Mailing Fax Number | 6308592994 |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
1230 N HIGHLAND AVE |
City | AURORA |
State | IL |
Zip Code | 60506-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144423906 | Rita Marie Porter | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2007-06-08 |
1750980405 | Sydney Lentz | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-10-23 |
1780283366 | Hannah Oliver | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-10-23 |
1821696212 | Tom Coker | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-10-16 |
1811595275 | Aleta E. Rasmussen | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-10-16 |
1184221889 | Melissa Chiquito | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-10-06 |
1134735681 | Thresa Caccavale | Behavioral Analyst | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-09-21 |
1356957708 | Karla Santillan | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-09-21 |
1598379026 | Sarah Franco | Counselor | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-09-02 |
1841802022 | Demetrea Smith | Behavioral Analyst | 1230 N Highland Ave, Aurora, IL 60506-1401 | 2020-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
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 |
---|---|---|---|---|
1538766985 | Mile High Council On Alcoholism and Drug Abuse | Counselor | 1585 Kingston St, Aurora, CO 80010-2504 | 2020-10-07 |
1689298465 | Taija Thomas | Counselor | 4609 S Laredo St, Aurora, CO 80015-1449 | 2020-06-08 |
1568090439 | Sarah Eleanor Heiser | Counselor | 3238 S Yampa Way Unit A, Aurora, CO 80013-6489 | 2020-03-27 |
1063048460 | Sarah Stewart | Counselor | 13123 E 16th Ave # B300, Aurora, CO 80045-7106 | 2020-03-17 |
1265070155 | Brooke Patton | Counselor | 4977 S Ukraine St, Aurora, CO 80015-6788 | 2019-12-11 |
1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
1548813140 | Olabisi O Iranloye | Counselor | 1436 Foxcroft Dr, Aurora, IL 60506-1252 | 2019-07-23 |
1295391316 | Kristine Sims | Counselor | 4747 S Liverpool Cir, Aurora, CO 80015-6697 | 2019-05-14 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
Find all providers in AURORA |
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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.