TARA LYNN CLARK (NPI# 1376853762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376853762 |
| Entity Type | Individual |
| Full Name | TARA LYNN CLARK |
| Credential | LMHC, LSWAIC, MSW |
| Practice Address |
3539 Dianna Way Wenatchee WA 98801-9142 |
| Mailing Address |
1250 N Wenatchee Ave Ste H #330 Wenatchee WA 98801-1599 |
| Practice Telephone | 5093347123 |
| Mailing Telephone | 5093347123 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH61072662 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SC60863365 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2102809 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 S Apple Blossom Dr, Chelan, WA 98816 | 5096624296 | 5096641037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731186 | Tara Clark | Community Health Worker | 3030 Grill Rd, New Franklin, OH 44216-9320 | 2015-02-02 |
| 1013270917 | Tara Annette Clark | Specialist | 24 Libby Ave, Hicksville, NY 11801-1737 | 2012-06-17 |
| 1750345245 | Tara A Clark | Family Medicine | 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5493 | 2006-04-13 |
| 1770125114 | Tara Clark | Behavior Technician | 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 | 2019-10-16 |
| 1053971911 | Tara Lowe Clark | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-06-13 |
| 1083199269 | Tara Clark | Nurse Practitioner | 600 S Dobson Rd Ste E36, Chandler, AZ 85224-5693 | 2018-10-03 |
| 1720574957 | Tara Clark | Speech-Language Pathologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-11 |
| 1124520986 | Tara Clark | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2018-03-07 |
| 1760980783 | Tara M Clark | Speech-Language Pathologist | 3501 Taylor Ave, Nottingham, MD 21236-4406 | 2018-01-24 |
| 1285081299 | Tara Maria Clark | Nurse Practitioner | 380 N Reservation Rd, Porterville, CA 93257-9673 | 2016-05-19 |
| Street Address |
3539 DIANNA WAY |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267847 | Lexy Kay Lieurance | Counselor | 302 Marilyn Ave, Wenatchee, WA 98801-1319 | 2020-05-19 |
| 1396257341 | Dee Cummings | Counselor | 807 Benton Way, Wenatchee, WA 98801-3094 | 2017-10-31 |
| 1942737184 | Jorge Chacon | Counselor | 802 S Mission St, Wenatchee, WA 98801-3054 | 2017-05-18 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| 1376992941 | Jessica Varga | Counselor | 640 S Mission St., Wenatchee, WA 98801 | 2016-06-06 |
| 1518315225 | Daane Hagen | Counselor | 640 S. Mission St, Wenatchee, WA 98801 | 2016-06-03 |
| 1215395736 | Danielle Bencze | Counselor | 139 S Worthen St, Wenatchee, WA 98801-3890 | 2016-01-29 |
| 1114324902 | Dylan Ann Spradlin | Counselor | 113 Second Ave N, Suite 102, Wenatchee, WA 98801 | 2014-11-24 |
| 1962810556 | Jesica Lingo | Counselor | 637 Yakima St, Wenatchee, WA 98801-2816 | 2014-07-27 |
| 1265781579 | Blake Suzelis | Counselor | 330 King St Ste 5, Wenatchee, WA 98801-2857 | 2012-08-31 |
| Find all providers in WENATCHEE | ||||
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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.