REBECCA ELIZABETH CLARK (NPI# 1942792296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942792296 |
Entity Type | Individual |
Full Name | REBECCA ELIZABETH CLARK |
Credential | MA, LPCC |
Practice Address |
1751 Southcross Dr W Burnsville MN 55306 |
Mailing Address |
12814 Echo Ln Apple Valley MN 55124-8678 |
Practice Telephone | 9528927690 |
Practice Fax Number | 9528984930 |
Enumeration Date | 2018-06-02 |
Last Update Date | 2018-06-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
01481 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
Street Address |
1751 SOUTHCROSS DR W |
City | BURNSVILLE |
State | MN |
Zip Code | 55306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245312818 | Patricia Verby Psychological Services Inc | Psychologist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2006-10-20 |
1598248346 | Donald Wayne Bellinger | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2018-09-07 |
1801375423 | Myranda Jo Shaw | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2018-08-14 |
1104206002 | Jennifer Kay Edlund | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2015-06-05 |
1043638653 | John Gawboy | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2014-04-01 |
1992053169 | Bradshaw Psycholgical Services | Clinic/Center | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2012-08-20 |
1588921050 | Jenna Marie Zoz | Marriage & Family Therapist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2012-04-20 |
1104106038 | Amy Diane Quinn | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2011-08-23 |
1205069168 | Dean Y. Charles | Psychologist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2009-08-26 |
1619199270 | Dana Michelle Escobar | Social Worker | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2007-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
Find all providers in zip 55306 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346749199 | Gateway Health Services Inc | Counselor | 13755 Nicollet Ave Ste 104, Burnsville, MN 55337-4045 | 2018-02-07 |
1669805115 | Southmountain Children and Family Services | Counselor | 49 Rock Wall Ln, Burnsville, NC 28714-8567 | 2013-08-19 |
1043521792 | Bridgett Littel | Counselor | 14551 Judicial Rd, Burnsville, MN 55306-4841 | 2010-06-28 |
1902995715 | Ann Marie Henderson | Counselor | 501 Highway 13 E, Suite 116, Burnsville, MN 55337-2884 | 2006-10-11 |
1407453004 | Tessa M Horstmann | Counselor | 14551 Judicial Rd, Burnsville, MN 55306-4841 | 2020-10-06 |
1568084119 | Tyler Jordan Smith | Counselor | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-16 |
1285253526 | Elise Marie Keller | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2020-04-15 |
1366070070 | Stephanie Brey | Counselor | 501 Highway 13 E Ste 116, Burnsville, MN 55337-2877 | 2020-03-29 |
1508400839 | Desiree Lutterman | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2019-10-30 |
1679121263 | Joan Plaisance | Counselor | 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 | 2019-08-28 |
Find all providers in BURNSVILLE |
City | BURNSVILLE |
Zip Code | 55306 |
Please comment or provide details below to improve the information on REBECCA ELIZABETH CLARK.
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.