JANELLE ELIZABETH CLARK


Address: 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403
Phone: 4144768183

JANELLE ELIZABETH CLARK (NPI# 1043314040) 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) 1043314040
Entity Type Individual
Full Name JANELLE ELIZABETH CLARK
Credential L.P.C.
Practice Address 2525 N Mayfair Rd
Suite 200
Wauwatosa
WI 53226-1403
Practice Telephone 4144768183
Practice Fax Number 4144768465
Mailing Telephone 4144768183
Mailing Fax Number 4144768465
Enumeration Date 2006-09-11
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101Y00000X Counselor 1899 NC Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
2708-125 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 21280000 05

Other Providers JANELLE CLARK

NPI Name Taxonomy Address Enumeration
1528489382 Janelle Veronica Clark Massage Therapist 3322 I St Ne, Apt. E-304, Auburn, WA 98002-1839 2013-12-21
1821441072 Janelle Clark Behavioral Analyst 4000 Genesee Pl, Suite 205, Woodbridge, VA 22192-8302 2016-07-22
1750409249 Janelle Clark Marriage & Family Therapist 650 Hobson Way, Oxnard, CA 93030-6706 2007-03-26

Office Location

Street Address 2525 N MAYFAIR RD
SUITE 200
City WAUWATOSA
State WI
Zip Code 53226-1403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346352440 Jodi Roana Witty Physical Therapist 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2006-08-31
1295042711 Yomex LLC Clinic/Center 2525 N Mayfair Rd, Suite #80, Wauwatosa, WI 53226-1403 2010-09-03
1205149168 Melissa Elizabeth Post Physical Therapist 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2010-07-21
1962672659 Dorothy Deanne Harris Counselor 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2008-03-10
1811185283 Mexton M Deacon Podiatrist 2525 N Mayfair Rd, 80, Wauwatosa, WI 53226-1403 2007-10-10
1023194297 John R Galbraith Psychologist 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2006-10-31
1538261185 Janet O Dahl Social Worker 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2006-09-03
1295847002 Marc W Zylstra Psychologist 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2006-08-31
1316059272 William Arnold Stewart Physical Medicine & Rehabilitation 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2006-08-31
1598877375 Midwest Rehabilitation Associates, S.c. Counselor 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1403 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073152435 John A Castro Counselor 2222 N Mayfair Rd Ste 200, Wauwatosa, WI 53226-2263 2020-01-03
1235578709 Aasiyah Clark Counselor 2222 N Mayfair Rd, Wauwatosa, WI 53226-2262 2013-06-18
1114162187 Benjamin M Rader Counselor 933 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3432 2008-12-04
1891992749 Jacqueline Mae Halverson Counselor 1233 N. Mayfair Rd, 206, Wauwatosa, WI 53226-3255 2007-07-02
1518173772 Jenna Lynn Behrens Counselor 7332 W State St Lower Level, Wauwatosa, WI 53213-2766 2007-05-15
1174650857 Jessica Ann Osinski Counselor 2600 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-1303 2007-02-28
1508414491 Alaina Kroes Counselor 2380 N 124th St Ste 101, Wauwatosa, WI 53226-1071 2019-09-03
1932666534 Bethany Williamson Counselor 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-2262 2019-03-01
1154898252 Jordan Menefee Chevako Counselor 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 2018-10-26
1609257989 Rosalina Solorzano Counselor 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 2015-06-12
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Competitor

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City WAUWATOSA
Zip Code 53226

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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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