REBECCA ELIZABETH CLARK


Address: 1751 Southcross Dr W, Burnsville, MN 55306
Phone: 9528927690

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
01481 MN Behavioral Health & Social Service Providers

Other Providers REBECCA CLARK

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

Office Location

Street Address 1751 SOUTHCROSS DR W
City BURNSVILLE
State MN
Zip Code 55306

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BURNSVILLE
Zip Code 55306

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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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