DORETHA L CLARK


Address: 1230 N Highland Ave, Aurora, IL 60506-1401
Phone: 6309664301

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1230 N HIGHLAND AVE
City AURORA
State IL
Zip Code 60506-1401

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City AURORA
Zip Code 60506

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Dataset Information

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.

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