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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 21280000 | 05 |
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 |
Street Address |
2525 N MAYFAIR RD SUITE 200 |
City | WAUWATOSA |
State | WI |
Zip Code | 53226-1403 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 53226 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
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. |
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 |
Find all providers in WAUWATOSA |
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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.