MRS. REBECCA CLARK (NPI# 1144761099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144761099 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA CLARK |
| Credential | LPC |
| Practice Address |
24401 W 39th St S Goddard KS 67052-8713 |
| Mailing Address |
1981 N Mcrae Ct Goddard KS 67052-8579 |
| Practice Telephone | 3167942760 |
| Mailing Telephone | 3163475946 |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3044 | KS | Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1891346466 | Rebecca Mae Clark | Pharmacist | 5804 1st Ave S, Birmingham, AL 35212-2524 | 2019-09-25 |
| Street Address |
24401 W 39TH ST S |
| City | GODDARD |
| State | KS |
| Zip Code | 67052-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322503 | Kathy E Hill | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232009 | Kimberly Dawn Presley | Counselor | 2517 E Casey Dr, Goddard, KS 67052 | 2019-02-22 |
| 1689103962 | Kimberley E Rowan | Social Worker | 125 Brazos, Goddard, KS 67052 | 2017-06-08 |
| 1649676800 | Kori Michelle Turney | Occupational Therapist | 1055 N. 199th St W, Goddard, KS 67052 | 2014-11-14 |
| 1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
| 1518092022 | Jamie J. Arnold | Chiropractor | 228 N. Main St, Goddard, KS 67052 | 2007-02-23 |
| 1871690073 | Michael D Gordon Dd Pa | Optometrist | 701 N Goddard Road, Goddard, KS 67052 | 2006-09-20 |
| 1023079852 | Carolina M Soria | Family Medicine | 216 N Main, Goddard, KS 67052 | 2006-03-31 |
| 1841316619 | Preferred Medical Associates | Nurse Practitioner | 216 N Main, Goddard, KS 67052 | 2007-03-22 |
| 1215045463 | Stephen Joseph Arnold | Dentist | 204 N Main, Goddard, KS 67052 | 2006-08-28 |
| 1720124647 | Sedgwick County Area Ed Serv 618 | Local Education Agency (LEA) | 620 Industrial Rd, Goddard, KS 67052-7009 | 2007-01-29 |
| Find all providers in zip 67052 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232009 | Kimberly Dawn Presley | Counselor | 2517 E Casey Dr, Goddard, KS 67052 | 2019-02-22 |
| 1194322503 | Kathy E Hill | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2020-10-08 |
| 1073964672 | Kelsey Joy Salazar | Counselor | 24401 W Macarthur Rd, Goddard, KS 67052-8713 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284646 | Christina Ferran | Counselor | 7604 Windsor St, Prairie Village, KS 66208-4022 | 2020-10-29 |
| 1891393179 | Mendy Logan | Counselor | 1999 N Amidon Ave Ste 373, Wichita, KS 67203-2154 | 2020-10-09 |
| 1154938595 | More't R Freeman | Counselor | 1414 N 77th St, Kansas City, KS 66112-2434 | 2020-09-29 |
| 1497361588 | Rachel Arnold | Counselor | 1707 E Cedar St Ste 107, Olathe, KS 66062-1886 | 2020-09-23 |
| 1932711371 | Danielle Edwards | Counselor | 9207 W 121st Ter, Overland Park, KS 66213-1546 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1508476524 | Catrina Brown | Counselor | 9393 W 110th St Ste 517, Overland Park, KS 66210-1442 | 2020-08-04 |
| 1336757863 | Drew W Stein | Counselor | 10429 W 117th Ter Apt 59, Overland Park, KS 66210-3809 | 2020-07-21 |
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1003433988 | Brandi Hudson | Counselor | 6801 W 121st St Ste 123, Overland Park, KS 66209-2005 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.