MR. CHRISTOPHER TAD CLARK (NPI# 1992053474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992053474 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER TAD CLARK |
| Credential | M.ED. |
| Practice Address |
1471 Dewar Dr Ste 204 Rock Springs WY 82901-5826 |
| Mailing Address |
4000 Dewar Dr Rock Springs WY 82901-6218 |
| Practice Telephone | 3076303466 |
| Practice Fax Number | 3073160228 |
| Mailing Telephone | 3073823010 |
| Mailing Fax Number | 3073826881 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-1198 | WY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1198 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1801383351 | Christopher Clark | Case Management | 43a Richfield Rd, Upper Darby, PA 19082-2517 | 2018-04-20 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
| 1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
| 1427480490 | Christopher James Clark | Counselor | 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 | 2013-08-01 |
| 1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
| 1215257217 | Christopher David Clark | Physical Medicine & Rehabilitation | 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 | 2010-06-02 |
| 1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
| 1992922454 | Christopher B Clark | Dentist | 28321 Kensington Ln, Perrysburg, OH 43551-4164 | 2007-04-19 |
| Street Address |
1471 DEWAR DR STE 204 |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520693 | Lisa M Bunning | Counselor | 308 Polk St, Rock Springs, WY 82901-4404 | 2010-11-01 |
| 1366800864 | Dana Mcguire | Counselor | 4000 Dewar Dr, Rock Springs, WY 82901-6218 | 2016-01-29 |
| 1801197975 | James M. R. Mahaffey | Counselor | 2001 Dewar Dr, #207, Rock Springs, WY 82901-5773 | 2010-11-05 |
| 1760639736 | Dinah Jpv James | Counselor | 2300 Foothill Blvd, Rock Springs, WY 82901-5610 | 2008-08-21 |
| 1285809111 | Linda Jean Acker | Counselor | 1124 College Dr, Rock Springs, WY 82901-5863 | 2008-04-22 |
| 1386858728 | David Lyle Barker | Counselor | 1124 College Dr, Rock Springs, WY 82901-5863 | 2007-05-09 |
| 1437224748 | Katherine La Nell Murphy | Counselor | 1124 College Dr, Rock Springs, WY 82901-5863 | 2006-11-21 |
| 1558448738 | Daphne Doyle Hofeldt | Counselor | 1124 College Dr, Rock Springs, WY 82901-5863 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667201 | Shine Forth LLC | Counselor | 6710 Willshire Blvd, Cheyenne, WY 82009-2757 | 2020-10-22 |
| 1811507510 | Allison M Werning | Counselor | 100 E 27th Ave, Torrington, WY 82240-2006 | 2020-08-06 |
| 1053920280 | Christopher Aaron Poe | Counselor | 1030 N Poplar St Ste B, Casper, WY 82601-1378 | 2020-07-23 |
| 1912533209 | Suzanne L Scott | Counselor | 1227 Weaver St, Rawlins, WY 82301-4445 | 2020-03-18 |
| 1053946806 | Karen Ellen Robertson | Counselor | 1912 Spring Creek Dr, Laramie, WY 82070-4747 | 2020-03-11 |
| 1215561915 | Lacy Renae Bangert | Counselor | 54 Meadow Plains Rd, Laramie, WY 82070-8527 | 2020-03-03 |
| 1942851019 | Cassidy Diane Provo | Counselor | 2241 Farnum St Ste 102, Casper, WY 82609-4108 | 2019-09-20 |
| 1144881632 | Amanda Parks | Counselor | 1326 N Heights Rd, Sheridan, WY 82801-2129 | 2019-06-25 |
| 1306400304 | Diana Lynne Whitney | Counselor | 375 Lane 7 1/2, Powell, WY 82435-9022 | 2019-04-24 |
| 1033690656 | Jane R King | Counselor | 400 S Kendrick Ave Ste 104c, Gillette, WY 82716-3848 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
Please comment or provide details below to improve the information on MR. CHRISTOPHER TAD 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.