MR. MICHAEL JOHN CLUTS (NPI# 1407815590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815590 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN CLUTS |
| Credential | LPC |
| Practice Address |
1312 W Collin Raye Dr De Queen AR 71832-2135 |
| Mailing Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8705847115 |
| Practice Fax Number | 8706423388 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P8806008 | AR | Behavioral Health & Social Service Providers |
| Street Address |
1312 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108663 | Sheree Moskow | Psychologist | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2006-03-17 |
| 1730786963 | Sonya Steward | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2020-10-01 |
| 1760028708 | Samantha Banhart | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-11-25 |
| 1023666351 | Just Wade Younger | Social Worker | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-08-29 |
| 1891349676 | Miriam Carreon Morales | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-07-30 |
| 1841855012 | Janice Elizabeth Ocampo | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-05-03 |
| 1225544315 | Alissa Loren Berruquin | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-12-27 |
| 1639605587 | Michael Wayne Barnes | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-05-11 |
| 1629503982 | Shawn Mitchell I | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-04-25 |
| 1215397104 | Kimberly Johnson | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1932712064 | Lavana J. Kindle | Counselor | Victory Church 1283 Us-278 W, Camden, AR 71701-4551 | 2020-08-28 |
| 1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1114557824 | Elysian Counseling Services Pllc | Counselor | 1024 W Court St Ste C, Paragould, AR 72450-4130 | 2020-01-22 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
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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.