MS. SHERYL ANNE CLARK (NPI# 1154822328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154822328 |
| Entity Type | Individual |
| Full Name | MS. SHERYL ANNE CLARK |
| Credential | LPC-A, LCAS-A |
| Practice Address |
12740 Spruce Tree Way Ste 102 Raleigh NC 27614-8295 |
| Practice Telephone | 9199161160 |
| Mailing Telephone | 9199161160 |
| Mailing Fax Number | 9194884226 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A21708 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A12269 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508963422 | Sheryl Diane Clark | Dermatology | 109 E 61 St, New York, NY 10021 | 2006-09-20 |
| 1780625707 | Sheryl Clark | Anesthesiology | 8900 Van Wyck Expressway, Jamaica Anesthesia Associates PC, Jamaica, NY 11418 | 2006-06-09 |
| Street Address |
12740 SPRUCE TREE WAY STE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780191627 | Collegial Behavioral Health, Pllc | Physician Assistant | 12740 Spruce Tree Way Ste 102, Raleigh, NC 27614-8295 | 2018-01-01 |
| 1689208985 | Karen Elizabeth Walters | Counselor | 12740 Spruce Tree Way Ste 102, Raleigh, NC 27614-8295 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1669070561 | Yazmeen Nilaja Irving | Counselor | 1654 Brownairs Ln, Raleigh, NC 27610-3490 | 2020-10-13 |
| 1194323980 | James P Perkins Jr. | Counselor | 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 | 2020-10-13 |
| 1598362154 | Polaris Psychological Health Counseling and Consulting Services Pllc | Counselor | 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 | 2020-10-07 |
| 1740897099 | Nola Metz Allan | Counselor | 537 Rand Rd, Raleigh, NC 27603-8715 | 2020-09-29 |
| 1346856291 | Julie Freeman | Counselor | 2108 Langdon Rd, Raleigh, NC 27604-3616 | 2020-09-16 |
| 1104438738 | Rebekah Lynn Musselwhite | Counselor | 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 | 2020-08-17 |
| 1487263026 | Better Health Counseling & Wellness, Pllc | Counselor | 5245 Pinehall Wynd, Raleigh, NC 27604-5827 | 2020-07-29 |
| 1174132021 | Kimberley Irene Gada-steinauer | Counselor | 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 | 2020-07-27 |
| 1780202085 | Tessa Blair Nayowith | Counselor | 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 | 2020-07-13 |
| Find all providers in RALEIGH | ||||
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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.