WADE STARK


Address: 309 W Clark St, Champaign, IL 61820-4637
Phone: 2173989066

WADE STARK (NPI# 1801430988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801430988
Entity Type Individual
Full Name WADE STARK
Practice Address 309 W Clark St
Champaign
IL 61820-4637
Practice Telephone 2173989066
Practice Fax Number 2173989077
Mailing Telephone 2173989066
Mailing Fax Number 2173989077
Enumeration Date 2019-11-01
Last Update Date 2019-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 309 W CLARK ST
City CHAMPAIGN
State IL
Zip Code 61820-4637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871877621 Kevin Elliott Counseling, Inc. Social Worker 309 W Clark St, Champaign, IL 61820 2011-09-28
1639789324 Jessica E Runde Counselor 309 W Clark St, Champaign, IL 61820-4637 2020-08-06
1255940599 Brandon Keith Miller Social Worker 309 W Clark St, Champaign, IL 61820-4637 2020-07-22
1174143341 Maggie Ruth Scott Counselor 309 W Clark St, Champaign, IL 61820-4637 2020-04-17
1285267799 Lawanda Reshawna Mcgee Social Worker 309 W Clark St, Champaign, IL 61820-4637 2020-02-13
1003459306 Phyllis Ann Webster Social Worker 309 W Clark St, Champaign, IL 61820-4637 2019-10-20
1245872803 Analise Atchison Social Worker 309 W Clark St, Champaign, IL 61820-4637 2019-10-15
1336798834 Emma Lorimor Social Worker 309 W Clark St, Champaign, IL 61820-4637 2019-09-06
1417506916 Rachel Bunyard Counselor 309 W Clark St, Champaign, IL 61820-4637 2019-09-06
1639636749 Vicky Welge Counselor 309 W Clark St, Champaign, IL 61820-4637 2019-02-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982217345 Costco Wholesale Corporation Pharmacy 2002 N. Neil St., Champaign, IL 61820 2020-08-26
1255963583 Jamey Richard Bailey Social Worker 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 2020-02-05
1790247443 Jason Abrams Counselor 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 2019-04-02
1184100273 Janine Rafferty Pharmacist 2002 N Neil St, Champaign, IL 61820 2018-07-12
1417475070 Brodbeck Counseling, PC Community/Behavioral Health 301 N. Neil Street Suite 323, Champaign, IL 61820 2017-09-05
1447773726 Quanata M Pelmore Nurse's Aide 508 E. Vine St, Champaign, IL 61820 2017-07-19
1821518127 Molly Mclay Social Worker 309 W Clark St., Champaign, IL 61820 2017-06-27
1396265849 Lou Echols Chambers Audiologist 901 South Sixth Street, Chamapign, IL 61820 2017-06-26
1962874495 Luciana Angelica Guardini Social Worker 100 North Chestnut Street, Suite 244, Champaign, IL 61820 2015-10-23
1538544465 Cpo Services, Inc. Prosthetic/Orthotic Supplier 410 E University Ave Ste 105, Champaign, IL 61820 2015-07-21
Find all providers in zip 61820

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932712890 Sophia Dixon Counselor 313 N Mattis Ave Ste 116, Champaign, IL 61821-7900 2020-08-28
1720607872 Joyce Bechtel Counselor 100 N Chestnut St Ste 225, Champaign, IL 61820-3329 2020-04-09
1356975643 Jamie Sue Stevens Counselor 201 W Springfield Ave Ste 208, Champaign, IL 61820-4875 2020-02-26
1639716624 Melanie L. Bailey Counselor 701 Devonshire Dr Ste B16-b18, Champaign, IL 61820-7337 2019-12-09
1659932663 George W. Cook Professional Corporation Counselor 1002 Mayfair Rd, Champaign, IL 61821-4435 2019-06-21
1891352142 Staci Poe Counseling Services Counselor 53 E Bradley Ave, Champaign, IL 61820-2741 2019-05-22
1861968240 Imani Taliah Harrison Counselor 701 Devonshire Dr Ste C53, Champaign, IL 61820-7361 2018-10-23
1790265825 Anna Farris Counselor 201 W Springfield Ave Ste 1005, Champaign, IL 61820-4968 2018-08-17
1437635752 Sheldon Gerrard Aaron Counselor 201 W Springfield Ave Ste 1201, Champaign, IL 61820-6385 2018-07-19
1114418456 Rebecca Pauline Harrison Counselor 201 W Springfield Ave Ste 1006, Champaign, IL 61820-6379 2018-05-22
Find all providers in CHAMPAIGN

Competitor

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City CHAMPAIGN
Zip Code 61820

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Dataset Information

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.

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