LINDA CLARK (NPI# 1891192688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891192688 |
| Entity Type | Individual |
| Full Name | LINDA CLARK |
| Other Name | LINDA CLARK RIDENOUR |
| Credential | LADC/MH CANDIDATE |
| Practice Address |
16301 Sonoma Park Dr Edmond OK 73013-2091 |
| Mailing Address |
Po Box 20433 Po Box 20433 Oklahoma City OK 73156-0433 |
| Practice Telephone | 4057480789 |
| Mailing Telephone | 4057480789 |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
76 | OK | Behavioral Health & Social Service Providers |
| N | 225700000X | Massage Therapist | OCC-05967 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568703742 | Linda Gaye Clark | Social Worker | 148 S Dowlen Rd, # 638, Beaumont, TX 77707-1755 | 2013-03-12 |
| 1730403783 | Linda Sue Clark | Pharmacist | 201 Crossings Mall, Elkview, WV 25071 | 2010-03-19 |
| 1245552009 | Linda R Clark | Nutritionist | 5150 Sunrise Blvd., Ste. H-4, Fair Oaks, CA 95628 | 2010-02-22 |
| 1114167616 | Linda M Clark | Psychologist | 78 Reno Rd, Buffalo, WY 82834-2019 | 2009-02-24 |
| 1679610927 | Linda Patricia Clark | Massage Therapist | 14610 229th Ave E, Orting, WA 98360-9669 | 2007-01-30 |
| 1013061803 | Linda Jean Clark | Optometrist | 1765 Stafford Court, Goshen, IN 46526-6542 | 2007-01-22 |
| 1801806583 | Linda J. Clark | Social Worker | 238 N 2nd St, Ste.1, Richmond, KY 40475-1484 | 2006-08-08 |
| 1376507772 | Linda Clark | Internal Medicine | 13 Saint Albans Cir, Suite C, Newtown Square, PA 19073-3622 | 2006-04-13 |
| 1144723016 | Linda Catherine Clark | Counselor | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-16 |
| 1851848261 | Linda Clark | Specialist/Technologist | 1201 Galloway St, Steilacoom, WA 98388-3909 | 2016-09-01 |
| Street Address |
16301 SONOMA PARK DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-2091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942233168 | Paula L. Edwards-gayfield | Counselor | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2006-07-09 |
| 1881222628 | Summit Counseling Pllc | Community/Behavioral Health | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2020-03-28 |
| 1689213936 | Forducey Professional Consulting | Clinic/Center | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2020-01-04 |
| 1548811235 | Kristen Caldwell | Counselor | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2019-09-24 |
| 1811428840 | Tiffany Fuller Counseling, LLC | Marriage & Family Therapist | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2017-03-22 |
| 1215319876 | Jenna Richardson, Lpc Services, Pllc | Community/Behavioral Health | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2015-06-19 |
| 1356748719 | Thomas Baroi Counseling Services | Counselor | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2014-12-01 |
| 1356754030 | Kristen Callaway | Marriage & Family Therapist | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2014-06-10 |
| 1174944219 | Margene Montgomery Nelson | Counselor | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2013-12-16 |
| 1376980730 | Amber M Prather | Counselor | 16301 Sonoma Park Dr, Edmond, OK 73013-2091 | 2013-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341337 | Juan Miguel Jimenez | Counselor | 713 Nw 139th St, Edmond, OK 73013-1912 | 2020-09-22 |
| 1417565243 | Angela Darlene Brooks | Counselor | 3605 Ne 142nd Ct, Edmond, OK 73013-7224 | 2020-07-17 |
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1043623945 | Gina Bustin | Counselor | 4 N Baumann Ave, Edmond, OK 73034-5612 | 2014-06-09 |
| 1003236894 | Starita Carter | Counselor | 501 W 15th St Apt 39, Edmond, OK 73013-3645 | 2014-04-21 |
| 1417392515 | New Balance Services | Counselor | 1625 Camden Way, Edmond, OK 73013-2942 | 2013-05-02 |
| 1730523689 | Hilda Njenne Ageh | Counselor | 600 N Blackwelder Ave, Edmond, OK 73034-5165 | 2013-04-23 |
| 1356699557 | Laura Drake | Counselor | 311 N Sooner Rd, Edmond, OK 73034-7156 | 2012-08-17 |
| 1528314887 | Anthony Dewayne Taylor | Counselor | 804 Wendy Ln, Edmond, OK 73013-5924 | 2012-07-24 |
| 1124304944 | C.a.r.e for Change | Counselor | 930 S Boulevard Apt 208, Edmond, OK 73034-4714 | 2011-10-25 |
| Find all providers in EDMOND | ||||
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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.