MRS. GINA CLARK (NPI# 1023151784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023151784 |
Entity Type | Individual |
Full Name | MRS. GINA CLARK |
Credential | LPC |
Practice Address |
800 E 6th Ave Ste B Stillwater OK 74074-3732 |
Mailing Address |
1321 N Jardot Rd Stillwater OK 74075-8531 |
Practice Telephone | 4053721250 |
Mailing Telephone | 4053723010 |
Enumeration Date | 2007-02-14 |
Last Update Date | 2015-04-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3797 | OK | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265985956 | Gina Maria Clark | Community Health Worker | 8212 Forest Oaks Blvd, Spring Hill, FL 34606-6839 | 2016-07-28 |
1871732412 | Gina Marie Clark | Social Worker | 1008 W Avenue J10, Lancaster, CA 93534-4828 | 2009-02-05 |
1124101332 | Gina K Clark | Nurse Practitioner | 990 Wilkinson Trce Ste 100, Bowling Green, KY 42103-3404 | 2006-10-23 |
1174912406 | Gina Clark | Nurse Practitioner | 4200 Gardiner View Ave, Louisville, KY 40213-1877 | 2015-01-09 |
1891119996 | Gina Clark | Social Worker | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2014-02-10 |
1427470558 | Gina Clark | Physical Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2014-01-08 |
1790065399 | Gina Clark | Family Medicine | 1505 E Main St, Stigler, OK 74462-2913 | 2011-08-26 |
1992020887 | Gina M. Clark | Student in an Organized Health Care Education/Training Program | 275 W Macarthur, Oakland, CA 94611-5641 | 2010-04-02 |
Street Address |
800 E 6TH AVE STE B |
City | STILLWATER |
State | OK |
Zip Code | 74074-3732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710474044 | Daisy Lili Tarr | Clinic/Center | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2018-04-23 |
1881193126 | Gina Kae Butler | Case Manager/Care Coordinator | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2018-02-01 |
1962810192 | Rhonda Reynolds | Registered Nurse | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2014-07-31 |
1417369968 | Debbie Deneice Blan | Registered Nurse | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2014-06-02 |
1376974071 | Maribeth Outhier | Social Worker | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2013-12-05 |
1831464619 | Shasta Lashae Griffin | Case Manager/Care Coordinator | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2012-03-13 |
1831335017 | Brittni Dawn Gaches | Case Manager/Care Coordinator | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2008-12-18 |
1235381880 | Kelli Michelle Foley | Case Manager/Care Coordinator | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2008-10-15 |
1700046455 | Sherry L. Mahi | Case Manager/Care Coordinator | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2008-06-16 |
1851551600 | Adam Taft Carroll | Case Manager/Care Coordinator | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2008-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
Find all providers in zip 74074 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821508565 | Julie Anne Kaufman | Counselor | 324 Main St S Ste 290, Stillwater, MN 55082-5165 | 2017-10-09 |
1588189401 | Claudia Elizabeth Weese | Counselor | 215 W Mcelroy Rd Ste 8, Stillwater, OK 74075-3537 | 2017-08-11 |
1386938892 | Tonna K Noble | Counselor | 4824 W 9th Ave, Stillwater, OK 74074-1503 | 2011-06-01 |
1881992337 | Vickie Lynne Benton | Counselor | 1408 S Lewis St, Stillwater, OK 74074-5831 | 2011-03-08 |
1497071427 | Kristin Jennifer Muhl | Counselor | 275 3rd St S, Suite 303, Stillwater, MN 55082-4996 | 2010-04-15 |
1538325840 | Linda C Poe | Counselor | 1811 N Crescent Dr, Stillwater, OK 74075-3704 | 2008-08-06 |
1912114463 | Lori Jan O'malley | Counselor | 3003 Black Oak Dr, Stillwater, OK 74074-2226 | 2007-05-16 |
1720103989 | Betty Joanne Williamson | Counselor | 800 E 6th St, Ste B, Stillwater, OK 74074 | 2007-03-20 |
1396877957 | Thomas Jai Gross | Counselor | 434 Willard Hall, Oklahoma State University, Stillwater, OK 74078 | 2007-03-09 |
1134264682 | Paula Ann Lewis | Counselor | 2323 W 7th St, Suite 1, Stillwater, OK 74074 | 2007-02-21 |
Find all providers in STILLWATER |
City | STILLWATER |
Zip Code | 74074 |
Please comment or provide details below to improve the information on MRS. GINA 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.