EDWARD CLARKE (NPI# 1205050069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205050069 |
| Entity Type | Individual |
| Full Name | EDWARD CLARKE |
| Practice Address |
7101 Baird Ave Reseda CA 91335-4150 |
| Mailing Address |
4982 Fir St Los Angeles CA 90016-3506 |
| Practice Telephone | 8183425897 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891801783 | Edward F Clarke | Internal Medicine | 324 Se Ninth, Suite D, Hillsboro, OR 97123 | 2006-08-22 |
| 1750494662 | Edward A Clarke | Social Worker | 3700 Josephine Ln, Mason, MI 48854-9540 | 2006-08-16 |
| 1407845878 | Edward Holton Clarke | Surgery | 147 W Gray St, Mark Twain Building, Elmira, NY 14901-3017 | 2005-10-19 |
| Street Address |
7101 BAIRD AVE |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881710887 | Tarzana Treatment Centers, Inc. | Clinic/Center | 7101 Baird Ave, Reseda, CA 91335-4150 | 2007-03-21 |
| 1588271035 | Amanda Louise Fee | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-09-29 |
| 1144848581 | Avissa Ilkhan | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-07-13 |
| 1043834708 | Fernando D Estrada Ortiz | Case Manager/Care Coordinator | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-05-28 |
| 1760005532 | Neil Prehmus | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-05-27 |
| 1285269761 | Shawn Deffenbaugh | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-03-05 |
| 1073175568 | Vanessa Silva | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-07-03 |
| 1255899944 | Ruben Villegas | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-03-12 |
| 1922571728 | Dmitry Savransky | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-01-04 |
| 1447729744 | Jorge Silva | Case Manager/Care Coordinator | 7101 Baird Ave, Reseda, CA 91335-4150 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| 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 |
|---|---|---|---|---|
| 1689173817 | Dawn Robinson | Counselor | 7923 Reseda Blvd Apt 1, Reseda, CA 91335-1934 | 2018-02-02 |
| 1780803635 | Nicolas Pacheco | Counselor | 7101 Baird Ave Ste 101, Reseda, CA 91335-4150 | 2007-04-25 |
| 1982828430 | Alex Gonzalez | Counselor | 7101 Baird St., Reseda, CA 91335 | 2007-04-13 |
| 1225578974 | Ytzel Anais Fernandez Flores | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2017-02-28 |
| 1104203603 | Sam Pow | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2015-05-04 |
| 1881974897 | Titonya Walton | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2011-08-22 |
| 1922312875 | Robert Kirk Donaldson | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2010-08-03 |
| 1417261348 | Heather Lynn Oppelt | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2010-08-03 |
| 1174767818 | Britney Elyse | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2009-04-24 |
| 1588840714 | Anthony J. Amado | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2008-01-17 |
| Find all providers in RESEDA | ||||
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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.