DESDA CLARK (NPI# 1932413093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932413093 |
| Entity Type | Individual |
| Full Name | DESDA CLARK |
| Credential | M.A., LPC |
| Practice Address |
8129 Nw Walnut Way Parkville MO 64152-6103 |
| Practice Telephone | 8165106622 |
| Mailing Telephone | 8165106622 |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2010-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2008012808 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12132523 | 01 |
| Street Address |
8129 NW WALNUT WAY |
| City | PARKVILLE |
| State | MO |
| Zip Code | 64152-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025573 | Kayla S Jones | Behavior Technician | 63301 Nw Kelly Dr Ste A, Parkville, MO 64152 | 2019-07-19 |
| 1386191401 | Branson Lyle Billings | Dentist | 8600 Tom Watson Pkwy., Ste. 101, Parkville, MO 64152 | 2016-09-07 |
| 1467908467 | Abigail Stanley | Dietitian, Registered | 6185 Jefferson Avenue, Parkville, MO 64152 | 2016-08-30 |
| 1568874477 | Latoya R Walker | Counselor | 8341 Nw Mace Rd Ste 115, Kansas City, MO 64152 | 2014-05-27 |
| 1386088284 | Stacey Chestnut-watson | Counselor | 8341 Nw Mace Rd Ste 120, Kansas City, MO 64152 | 2013-04-22 |
| 1093069049 | Rhonda Joyce Weimer | Counselor | 160 A West 12th Street, Parkville, MO 64152 | 2012-10-30 |
| 1902182892 | Kelly Dawn Siebert | Pharmacist | 3645 Frederick Blvd, St. Joseph, MO 64152 | 2011-10-24 |
| 1922301563 | Casey Chiropractic LLC | Chiropractor | 8303 N. Congress Ave, Kansas City, MO 64152 | 2010-12-20 |
| 1093910994 | Jennifer A. Sutch | Occupational Therapist | 8400 Nw 62nd.st., Parkville, MO 64152 | 2007-06-19 |
| 1154483972 | Karla Elaine Woodring Fredericks | Counselor | 171 English Landing Drive, Suite 220, Parkville, MO 64152 | 2006-12-15 |
| Find all providers in zip 64152 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1003455478 | Amy Lou Carlson | Counselor | 10031 Nw 71st Ter, Parkville, MO 64152-2460 | 2020-01-02 |
| 1205229481 | Elizabeth Close | Counselor | 3615 E Joppa Rd Ste 290, Parkville, MD 21234-3382 | 2015-03-11 |
| 1245409929 | Positive Options Counseling Services Incorporated | Counselor | 171 English Landing Dr, Suite220, Parkville, MO 64152-5027 | 2008-02-26 |
| 1790954477 | Larinda Larae Penne | Counselor | 170 English Landing Dr Ste 141, Parkville, MO 64152-5020 | 2008-02-26 |
| 1831373240 | Carolyn Marie Mele | Counselor | 1 Shawnee Ct Apt 101, Parkville, MD 21234-8603 | 2007-12-20 |
| 1154483972 | Karla Elaine Woodring Fredericks | Counselor | 171 English Landing Drive, Suite 220, Parkville, MO 64152 | 2006-12-15 |
| 1346248580 | Thomas Edward Rodgerson | Counselor | 8203 Harford Rd, Parkville, MD 21234-5888 | 2005-07-12 |
| 1104480276 | Cassandra E Whitney | Counselor | 400 E 6th St, Parkville, MO 64152-3703 | 2019-04-24 |
| 1619531795 | Danielle Rose Conforti | Counselor | 400 E 6th St, Parkville, MO 64152-3703 | 2019-04-24 |
| Find all providers in PARKVILLE | ||||
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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.