KELLI CLARK (NPI# 1518460294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518460294 |
| Entity Type | Individual |
| Full Name | KELLI CLARK |
| Credential | LPC |
| Practice Address |
3100 Pioneer Ave Pittsburgh PA 15226-1741 |
| Mailing Address |
268 Franklin Dr Pittsburgh PA 15241-1911 |
| Practice Telephone | 4128497260 |
| Mailing Telephone | 4128497260 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC010279 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 Taylor Dr, Canonsburg, PA 153173843 | 4128497260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955548 | Kelli Elizabeth Clark | Audiologist | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 | 2020-06-02 |
| 1023669363 | Kelli Clark | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1659925436 | Kelli Clark | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2019-07-30 |
| 1922536374 | Kelli Clark | Social Worker | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-05-30 |
| 1558763839 | Kelli Clark | Occupational Therapist | 401 Locust St, Suite 2a, Coraopolis, PA 15108-3954 | 2014-09-18 |
| 1104196815 | Kelli Marie Clark | Social Worker | 23 Maple St, Massena, NY 13662-1017 | 2012-01-11 |
| 1104145895 | Kelli Nicole Clark | Social Worker | 619 N Main St, Muskogee, OK 74401-4431 | 2010-05-20 |
| Street Address |
3100 PIONEER AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15226-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215355961 | Donna Labriola | Dentist | 615 Brooklone Blvd, Pittsburgh, PA 15226 | 2014-03-31 |
| 1609292838 | Robert Miggantz | Dentist | 615 Brookline Blvd, Pittsburgh, PA 15226 | 2014-03-12 |
| 1285989251 | Dme 13, Incorporated | Durable Medical Equipment & Medical Supplies | 1313 Saw Mill Run Blvd., Pittsburgh, PA 15226 | 2012-07-17 |
| 1356561948 | Brookline Medical Assoc PC | Family Medicine | 519 Brookline Boulevard, Pittsburgh, PA 15226 | 2007-04-26 |
| 1245326214 | Ernest Richard Kline | Chiropractor | 405 Mcneilly Road, Pittsburgh, PA 15226 | 2006-10-05 |
| 1477658284 | A-boss Opticians Inc | Eyewear Supplier (Equipment, not the service) | 938 Brookline Blvd, Pittsburgh, PA 15226 | 2006-09-14 |
| 1063632982 | Pinnacle Treatment Centers Pa-ii, LLC | Clinic/Center | 739 Ensign Ave, Pittsburgh, PA 15226-1105 | 2007-04-26 |
| 1295817161 | Alliance Medical Services, Inc, Ensign I | Clinic/Center | 729 Ensign Ave, Pittsburgh, PA 15226-1105 | 2006-10-20 |
| 1649708199 | Deanna Frank | Physician Assistant | 729 Ensign Ave, Pittsburgh, PA 15226-1105 | 2017-05-30 |
| 1801017652 | Pinnacle Treatment Centers Pa-i, LLC | Clinic/Center | 729 Ensign Ave, Pittsburgh, PA 15226-1105 | 2007-05-01 |
| Find all providers in zip 15226 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598949 | Amy Lynn Protho | Counselor | 3495 Butler St Ste 3, Pittsburgh, PA 15201-1375 | 2020-11-04 |
| 1033719794 | Paul Sliva | Counselor | 1040 E Windhaven Rd # A, Pittsburgh, PA 15205-8700 | 2020-10-30 |
| 1336756717 | Joanne V. Crough Counseling, LLC | Counselor | 475 Jefferson Dr, Pittsburgh, PA 15228-2165 | 2020-09-29 |
| 1699382754 | A Safe Space Counseling LLC | Counselor | 1304 Lindbergh Ave, Pittsburgh, PA 15223-1128 | 2020-09-23 |
| 1083229454 | Mary L. Griffin | Counselor | 1003 Perry Hwy Ste 202, Pittsburgh, PA 15237-2194 | 2020-09-12 |
| 1316551922 | Lisa Auld, LLC | Counselor | 960 Chatham Park Dr Apt E, Pittsburgh, PA 15216-1053 | 2020-09-01 |
| 1003429978 | Rosemary Cunningham | Counselor | 615 Washington Rd Ste 302, Pittsburgh, PA 15228-1927 | 2020-08-28 |
| 1144832056 | Megan Leigh Gerwel | Counselor | 3000 Naomi Dr, Pittsburgh, PA 15207-1322 | 2020-08-21 |
| 1467063644 | Lucent Counseling and Consulting, LLC | Counselor | 3229 W Liberty Ave Fl 2, Pittsburgh, PA 15216-2319 | 2020-08-12 |
| 1801407143 | Carlos E Golfetto LLC | Counselor | 5425 5th Ave Apt 104, Pittsburgh, PA 15232-2274 | 2020-08-11 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15226 |
Please comment or provide details below to improve the information on KELLI CLARK.
| 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.