MR. BRANDON CLARK (NPI# 1528256955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528256955 |
| Entity Type | Individual |
| Full Name | MR. BRANDON CLARK |
| Practice Address |
3995 Marcola Rd Springfield OR 97477-7948 |
| Practice Telephone | 5417261465 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528522083 | Brandon Clark | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2019-01-29 |
| 1063988939 | Brandon K Clark | Case Manager/Care Coordinator | 103 4th St, Jonesboro, LA 71251-3346 | 2018-10-18 |
| 1972054393 | Brandon Clark | Counselor | 8930 Stanford Blvd, Suite M 100, Columbia, MD 21045-5805 | 2016-10-20 |
| 1932561115 | Brandon W. Clark | Social Worker | 1203 Idaho St, Lewiston, ID 83501-1940 | 2016-03-25 |
| 1871872416 | Brandon C Clark | Counselor | 500 Fairway Dr, Deerfield Beach, FL 33441-1814 | 2011-08-14 |
| 1174844138 | Brandon Clark | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2010-06-14 |
| Street Address |
3995 MARCOLA RD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-7948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343558 | Mental Health for Children, Inc | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2006-07-07 |
| 1013523455 | Isabel L Moran | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-09-21 |
| 1912510686 | Ayla Alexandria Caesar | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-24 |
| 1447862214 | Gordon Diquattro | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-21 |
| 1699385351 | Teia Rae-jean Carlisle | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-06 |
| 1922626514 | Jason H Brooks | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-09 |
| 1205454279 | Cora Crabtree | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-07 |
| 1538786256 | Lauren Taylor Hval | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-29 |
| 1063039014 | Kayla Armstrong | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-25 |
| 1801413893 | Camille Phillips | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on MR. BRANDON 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.