ROBERT JON CLARK JR. (NPI# 1457614885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457614885 |
| Entity Type | Individual |
| Full Name | ROBERT JON CLARK JR. |
| Credential | MA, LPC |
| Practice Address |
4514 Cole Ave Suite 600 Dallas TX 75205-5412 |
| Practice Telephone | 2149070089 |
| Mailing Telephone | 2149070089 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
66476 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 309292602 | 05 | |
| TX | 309292601 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8380LC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
4514 COLE AVE SUITE 600 |
| City | DALLAS |
| State | TX |
| Zip Code | 75205-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931148 | Kojo Pobee | Internal Medicine | 4514 Cole Ave, Suite 625, Dallas, TX 75205-5412 | 2005-12-06 |
| 1366983298 | Kimberly Young | Nutritionist | 4514 Cole Ave, #600, Dallas, TX 75205-5412 | 2017-03-11 |
| 1821440355 | The Mcneer Group | Counselor | 4514 Cole Ave, Dallas, TX 75205-5412 | 2016-07-08 |
| 1922462837 | Stephanie H. Greenberg, Pllc | Counselor | 4514 Cole Ave, Suite 805, Dallas, TX 75205-5412 | 2016-04-06 |
| 1104244433 | Kimberly Warren | Counselor | 4514 Cole Ave, Suite 805, Dallas, TX 75205-5412 | 2014-04-03 |
| 1821433004 | Adean Kingston Md Pllc | Dermatology | 4514 Cole Ave, Suite 910, Dallas, TX 75205-5412 | 2013-05-01 |
| 1861795114 | Independent Living Design LLC | Contractor | 4514 Cole Ave, Suite 600, Dallas, TX 75205-5412 | 2010-12-08 |
| 1679889828 | Ryan Patrick Holliman | Counselor | 4514 Cole Ave, Suite 600, Dallas, TX 75205-5412 | 2010-08-26 |
| 1881925626 | Navpreet K Dhaliwal | Dentist | 4514 Cole Ave, Dallas, TX 75205-5412 | 2010-01-19 |
| 1598914418 | Implantable Technologies LLC | Durable Medical Equipment & Medical Supplies | 4514 Cole Ave, Suite 600, Dallas, TX 75205-5412 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298337 | Nap Diagnostics, Pllc | Electrodiagnostic Medicine | 4514 Cole Avenue Suite 600, Dallas, TX 75205 | 2019-11-04 |
| 1639578123 | Adam Martin | Specialist/Technologist, Other | 3001 Monticello, 210, Dallas, TX 75205 | 2014-08-20 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1780016857 | Heather Gano, Md, Pllc | Anesthesiology | 4447 N Central Expy Suite 110 #264, Dallas, TX 75205 | 2013-07-31 |
| 1134463961 | Dallas Emergency Dental | Dentist | 3001 Knox Ste. # 300 B, Dallas, TX 75205 | 2012-11-16 |
| 1982957270 | Ziba Tarighi Tarighi | Physician Assistant | 3414 Milton, University Park, TX 75205 | 2012-10-24 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1063746006 | Andrew W Randall Dds & Assoicates, PC | Dentist | 6805 Hillcrest Avenue, Suite 218, Dallas, TX 75205 | 2009-09-23 |
| 1902031875 | Dan Allen Myers | Psychiatry & Neurology | 5110 Tracy Street, Dallas, TX 75205 | 2009-05-21 |
| Find all providers in zip 75205 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
| 1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
| 1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
| 1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
| 1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
| 1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
| 1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
| Find all providers in DALLAS | ||||
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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.