KELSEY NICOLE CLARK (NPI# 1205193984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205193984 |
| Entity Type | Individual |
| Full Name | KELSEY NICOLE CLARK |
| Other Name | KELSEY N USHER |
| Credential | LMFT |
| Practice Address |
400 S Jefferson St Ste 200 Spokane WA 99204-3143 |
| Practice Telephone | 5097686852 |
| Practice Fax Number | 5092325552 |
| Mailing Telephone | 5097686852 |
| Mailing Fax Number | 5098384816 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2019-06-25 |
| 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) |
CO60243441 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CG60555872 | WA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LF60878729 | WA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MG60679997 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2106154 | 05 | |
| WA | STATE LICENSING BOARD | LF60878729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489307 | Kelsey Ann Clark | Spec/Tech, Cardiovascular | 13 Indian Ridge Rd, New Milford, CT 06776-4614 | 2016-10-25 |
| 1174124374 | Kelsey Clark | Social Worker | 1865 N Ridge Rd E, Lorain, OH 44055-3300 | 2020-11-04 |
| 1972102465 | Kelsey Clark | Pharmacist | 1362 W Main St, Whitewater, WI 53190-1504 | 2020-10-26 |
| 1063010312 | Kelsey Leigh-ann Clark | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1914 | 2020-10-09 |
| 1063034593 | Kelsey Ann Clark | Behavioral Analyst | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-05-06 |
| 1164948337 | Kelsey Anne Clark | Physical Therapy Assistant | 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630 | 2017-08-18 |
| 1891145520 | Kelsey Clark | Occupational Therapist | 721 N Juniata St, Hollidaysburg, PA 16648-1455 | 2016-06-14 |
| 1144510629 | Kelsey Nichole Clark | Occupational Therapist | 165 Plaza Ct, Kingwood, WV 26537-1653 | 2011-04-18 |
| 1679870604 | Kelsey Lynn Clark | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-28 |
| Street Address |
400 S JEFFERSON ST STE 200 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926337 | Tiffany Coury | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2020-09-13 |
| 1811519879 | Lindsey C Mcintyre | Social Worker | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2020-05-13 |
| 1962973826 | Jenny L Finley | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2018-12-17 |
| 1124534474 | Debra Winter | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2017-12-22 |
| 1538557012 | Jeffrey Eugene Wallace | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1326692732 | Lucinda L Wurtz | Marriage & Family Therapist | 3101 East Boone Avenue, Spokane, WA 99202-9920 | 2019-07-25 |
| 1033605993 | Eldaah Rogers, LLC | Marriage & Family Therapist | 203 N Washington St Ste 200l, Spokane, WA 99201-0233 | 2018-07-03 |
| 1992204754 | Tabitha M Wyatt | Marriage & Family Therapist | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2018-02-07 |
| 1417475690 | Jennifer Paige Numata | Marriage & Family Therapist | 108 N Washington St # 421, Spokane, WA 99201-5003 | 2017-09-07 |
| 1043749450 | Shannon Michelle Smith | Marriage & Family Therapist | 707 W 5th Ave Apt 1116, Spokane, WA 99204-2780 | 2017-06-08 |
| 1811342504 | Laura Sendelbach | Marriage & Family Therapist | 1908 W 10th Ave, Spokane, WA 99204-4230 | 2016-04-29 |
| 1053774950 | Janice E Lafountaine | Marriage & Family Therapist | 10103 N Division St Suite 103, Spokane, WA 99218-2321 | 2016-03-30 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| 1386981116 | Monica Whitlock | Marriage & Family Therapist | 1324 N Summit Blvd, Spokane, WA 99201-3033 | 2013-01-14 |
| Find all providers in SPOKANE | ||||
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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.