CLARK YOUNG (NPI# 1205079936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205079936 |
| Entity Type | Individual |
| Full Name | CLARK YOUNG |
| Credential | LMHC |
| Practice Address |
110 E Main St Ottumwa IA 52501-2910 |
| Practice Telephone | 6416828772 |
| Practice Fax Number | 6416821924 |
| Mailing Telephone | 6416828772 |
| Mailing Fax Number | 6416821924 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1659353670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083438 | Clark G Young | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2016-02-15 |
| Street Address |
110 E MAIN ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154793446 | Rhonda Johnson | Social Worker | 110 E Main St, Ottumwa, IA 52501-2910 | 2015-10-26 |
| 1265838189 | Christine Hartman-jarr | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-11-05 |
| 1881095933 | Megan Wallace | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-09-09 |
| 1740690635 | Brianne Stuchel | Social Worker | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-05-01 |
| 1811307903 | Travis Underwood | Social Worker | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-04-29 |
| 1215352059 | Angela Andeway | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-03-04 |
| 1174957427 | Tiffany Cloke | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2013-08-22 |
| 1841530904 | Judith M Fox | Social Worker | 110 E Main St, Ottumwa, IA 52501-2910 | 2013-02-26 |
| 1821333022 | Suszanne Rae Keasling | Registered Nurse | 110 E Main St, Ottumwa, IA 52501-2910 | 2012-11-29 |
| 1558612754 | Claire Wofford | Social Worker | 110 E Main St, Ottumwa, IA 52501-2910 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1689734527 | Marilynn Louise Russ | Counselor | 611 Church Street, Suite #103, Ottumwa, IA 52501-9079 | 2006-12-11 |
| 1750363263 | Kimberley S Kelly | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2005-11-18 |
| 1891264503 | Amanda Seemann | Counselor | 1527 Albia Rd, Ottumwa, IA 52501 | 2018-11-26 |
| 1700353083 | Allison Brown | Counselor | 1527 Albia Rd, Ottumwa, IA 52501-3907 | 2018-10-25 |
| 1265838189 | Christine Hartman-jarr | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-11-05 |
| 1881095933 | Megan Wallace | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-09-09 |
| 1215352059 | Angela Andeway | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-03-04 |
| 1174957427 | Tiffany Cloke | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2013-08-22 |
| 1083055636 | Suzette Kathryn Van Vark | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2013-07-11 |
| Find all providers in OTTUMWA | ||||
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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.