MARIA CLARK LLC (NPI# 1568949923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568949923 |
| Entity Type | Organization |
| Organization Name | MARIA CLARK LLC |
| Other Organization Name | MARIA CLARK LLC |
| Practice Address |
1620 Wilshire Dr Ste 222 Bellevue NE 68005-6600 |
| Mailing Address |
2613 Blackhawk Dr Bellevue NE 68123-3707 |
| Practice Telephone | 4025369568 |
| Practice Fax Number | 4029054767 |
| Mailing Telephone | 4025369568 |
| Mailing Fax Number | 4029054767 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | MARIA CLARK (LIMHP) |
| Authorized Official Telephone | 4025369568 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1579 | NE | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1579 | NE | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Maria Clark LLC | Doing Business As Name - Organization |
| Street Address |
1620 WILSHIRE DR STE 222 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| 1760692461 | Tricia Anne Eggers | Physical Therapy Assistant | 7702 Hillcrest Drive, Bellevue, NE 68005 | 2007-05-23 |
| Find all providers in zip 68005 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1093257461 | Benjamin Russell Wilson | Counselor | 6461 Dawn Dr, Bellevue, MI 49021-8411 | 2016-11-16 |
| 1255792594 | Audrey Cook | Counselor | 817 Kilbourne Street, Suite G, Bellevue, OH 44811-9431 | 2016-03-15 |
| 1659658557 | Nancy E Allin | Counselor | 16825 Ne 19th Pl, Bellevue, WA 98008-2667 | 2011-11-07 |
| 1801109962 | Kristen L Treat | Counselor | 13509 S 44th St, Bellevue, NE 68123-6253 | 2010-07-19 |
| 1902131220 | Donna Coombs Lmhc | Counselor | 1400 112th Ave Se Ste 221, Bellevue, WA 98004-6901 | 2009-10-04 |
| 1134260896 | Ann Sparling White | Counselor | 5692 179th Ave Se, Bellevue, WA 98006-5931 | 2007-02-08 |
| 1922155183 | Breanna Martine Jeffries | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2007-01-03 |
| 1932204559 | Julie Diane Wood | Counselor | 1715 114th Ave Se Ste 208, Bellevue, WA 98004-6906 | 2006-09-14 |
| 1861002925 | Johnny S Tock | Counselor | 2002 156th Ave Ne Ste 100, Bellevue, WA 98007-3827 | 2020-08-04 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on MARIA CLARK LLC.
| 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.