KERSTEN CLARK (NPI# 1538627187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538627187 |
| Entity Type | Individual |
| Full Name | KERSTEN CLARK |
| Practice Address |
9981 Spring Valley Rd Potter Valley CA 95469-9713 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7074672010 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2019-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
9981 SPRING VALLEY RD |
| City | POTTER VALLEY |
| State | CA |
| Zip Code | 95469-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790811073 | Brandan Chace Moroni | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2007-02-23 |
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1003423427 | Rebeca Diaz | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-09-29 |
| 1043845167 | William Backus | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-03-09 |
| 1457991929 | Damian Pickron | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-01-13 |
| 1790320786 | Howard Eady | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-11-13 |
| 1538703640 | Lisa Lopez | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-10-31 |
| 1548818818 | Geoffrey Aringdale | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288448 | Richard Gardiner | Psychiatry & Neurology | 11781 East Rd, Potter Valley, CA 95469 | 2005-07-07 |
| 1629038971 | James Pretorius | Family Medicine | 8201 West Rd, Potter Valley, CA 95469-8700 | 2006-03-23 |
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1316595317 | William Crossman IIi | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2019-09-03 |
| 1982267423 | Austin Schmadeke | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-04-19 |
| 1548726128 | Krista Switzer | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-02-19 |
| 1124510342 | Kathleen Phillips | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2018-06-04 |
| 1518418482 | Redwood Community Services, Inc | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-10-17 |
| Find all providers in zip 95469 | ||||
| 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 |
|---|---|---|---|---|
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1790811073 | Brandan Chace Moroni | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2007-02-23 |
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1003423427 | Rebeca Diaz | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-09-29 |
| 1043845167 | William Backus | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-03-09 |
| 1457991929 | Damian Pickron | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-01-13 |
| 1790320786 | Howard Eady | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-11-13 |
| Find all providers in POTTER VALLEY | ||||
| City | POTTER VALLEY |
| Zip Code | 95469 |
Please comment or provide details below to improve the information on KERSTEN 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.