RICHARD CLARK (NPI# 1770831901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770831901 |
| Entity Type | Individual |
| Full Name | RICHARD CLARK |
| Practice Address |
2902 Jack Pine St Bellevue NE 68123-5519 |
| Practice Telephone | 4026165139 |
| Mailing Telephone | 4026165139 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1825 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| 1962406793 | Richard Gary Clark | Emergency Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2005-06-09 |
| Street Address |
2902 JACK PINE ST |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697053 | Your Choice Counseling, LLC | Clinic/Center | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931416 | Lauren Dudugjian | Counselor | 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 | 2020-10-27 |
| 1760080345 | Carli Rhylander | Counselor | 2009 Nottingham Dr, Bellevue, NE 68123-2046 | 2020-10-15 |
| 1023621877 | Eileen S Putter | Counselor | 14011 Se 49th Pl, Bellevue, WA 98006-3401 | 2020-08-30 |
| 1326657164 | Tamasin Raiswell | Counselor | 1611 116th Ave Ne Ste 211, Bellevue, WA 98004-3064 | 2020-07-28 |
| 1194349415 | Le Center for Health & Wellness, Inc. | Counselor | 15015 Main St Ste 210, Bellevue, WA 98007-5229 | 2020-06-02 |
| 1447888326 | Carlos M Del Rio | Counselor | 4009 Raynor Pkwy Apt 2120, Bellevue, NE 68123-6103 | 2020-03-27 |
| 1386270221 | Danthony T Smith | Counselor | 10608 Ne 2nd St, Bellevue, WA 98004-5157 | 2020-03-22 |
| 1538708169 | Anna L Redgrave | Counselor | 15659 Se 9th St, Bellevue, WA 98008-4901 | 2019-12-30 |
| 1508401142 | Jennifer Flores | Counselor | 3145 Whiteman Dr, Bellevue, NE 68123-1625 | 2019-11-07 |
| 1861037467 | Alyssa Rose Overton | Counselor | 1231 116th Ave Ne Ste 410, Bellevue, WA 98004-3804 | 2019-11-07 |
| Find all providers in BELLEVUE | ||||
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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.