JEFFREY SCOTT CLARK (NPI# 1619505914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619505914 |
| Entity Type | Individual |
| Full Name | JEFFREY SCOTT CLARK |
| Credential | LMHC |
| Practice Address |
402 E Yakima Ave Ste 800-c Yakima WA 98901-5407 |
| Mailing Address |
402 E Yakima Ave Ste 800 Yakima WA 98901-5410 |
| Practice Telephone | 5098337528 |
| Practice Fax Number | 5094572756 |
| Mailing Telephone | 5098337528 |
| Mailing Fax Number | 5094572756 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH61052282 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063805844 | Jeffrey Clark | Specialist/Technologist | 315 Reber Ave, Lancaster, OH 43130-1761 | 2015-03-18 |
| 1134535248 | Jeffrey Clark | Hearing Instrument Specialist | 123 E Mondamin St, Minooka, IL 60447-9896 | 2014-07-09 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1881958767 | Jeffrey Kenneth Clark | Pharmacist | 12850 E Montview Blvd Ste C238, Aurora, CO 80045-2605 | 2012-06-26 |
| 1912285495 | Jeffrey S Clark | Chiropractor | 203 Railroad St Ste 3c, Buda, TX 78610-3437 | 2011-08-01 |
| 1003100934 | Jeffrey Paul Clark | Dentist | 1403 N Loop 336 W, Conroe, TX 77304-3503 | 2011-06-08 |
| 1942520044 | Jeffrey B Clark | Dentist | 2133 Belcourt Avenue, Nashville, TN 37212-3503 | 2010-06-11 |
| 1730405333 | Jeffrey Clark | Pharmacist | 611 N Perry St, Bldg #2, Suite 202, Spokane, WA 99202-5011 | 2010-04-08 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| 1851411755 | Jeffrey Paul Clark | Family Medicine | 652 N 1180 E, Orem, UT 84097-5467 | 2007-04-02 |
| Street Address |
402 E YAKIMA AVE STE 800-C |
| City | YAKIMA |
| State | WA |
| Zip Code | 98901-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162998 | China Nwachukwu | Pharmacist | Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2020-07-30 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
| 1679051387 | Toni Christine Fogli | Counselor | 2280 Ste. Rte. 821, Yakima, WA 98901 | 2018-08-03 |
| 1043798267 | Amber Ann Couture | Counselor | 2280 Wa-821, Yakima, WA 98901 | 2018-07-31 |
| 1992201982 | Etienne Galbreath | Student in an Organized Health Care Education/Training Program | Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2018-03-30 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1982156501 | David Burkett | Counselor | 315 N. 2nd Street, Yakima, WA 98901 | 2016-10-31 |
| Find all providers in zip 98901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609354257 | Benjamin Shafar | Counselor | 111 N Front St, Yakima, WA 98901-2638 | 2018-08-04 |
| 1093231664 | Patricia Parker | Counselor | 208 S 37th Ave, Yakima, WA 98902-3606 | 2017-08-16 |
| 1235655820 | Lisa Suzette Knutson | Counselor | 6 S 2nd St Ste 710, Yakima, WA 98901-2629 | 2017-08-16 |
| 1407388341 | Trevor Stephen | Counselor | 1500 Pacific Ave, Yakima, WA 98901-3408 | 2017-03-30 |
| 1548706740 | Northwest Nursing Consultants | Counselor | 3001 S 99th Ave, Yakima, WA 98903-9270 | 2017-01-11 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1902262439 | Hilarie Williams | Counselor | 303 E D St Ste 5, Yakima, WA 98901-2300 | 2016-01-13 |
| 1144611088 | Rose Roberson | Counselor | 3601 W Washington Ave, Suite 5, Yakima, WA 98903-1164 | 2015-02-13 |
| 1386053528 | Kimberly Mae Lunning | Counselor | 2815 Riverside Rd, Yakima, WA 98901-8538 | 2014-08-12 |
| 1417391228 | Janice M. Burke Consulting | Counselor | 513 N Front St Ste B, Yakima, WA 98901-2351 | 2013-04-23 |
| Find all providers in YAKIMA | ||||
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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.