COURTNEY MARIE CLARK (NPI# 1275002164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275002164 |
| Entity Type | Individual |
| Full Name | COURTNEY MARIE CLARK |
| Credential | MS, LPC |
| Practice Address |
833 N 26th St Milwaukee WI 53233-1507 |
| Mailing Address |
1705 17th Ave Grafton WI 53024-2030 |
| Practice Telephone | 4143456386 |
| Mailing Telephone | 7159666221 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7192-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056681 | Courtney Denise Clark | Counselor | 502 Mockingbird Dr, Crossville, TN 38555-5836 | 2020-09-03 |
| 1558722082 | Courtney Clark | Behavioral Analyst | 2541 White Mountain Hwy, Unit 5, North Conway, NH 03860-5125 | 2016-03-10 |
| 1609476746 | Courtney Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
| 1720615008 | Courtney Clark | Physical Medicine & Rehabilitation | 3574 Center Rd, Brunswick, OH 44212-3618 | 2020-03-25 |
| 1518590660 | Courtney A Clark | Counselor | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2020-02-18 |
| 1174170237 | Courtney Clark | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-23 |
| 1457906588 | Courtney Lynn Clark | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-08-06 |
| 1801351341 | Courtney Clark | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2019-02-08 |
| 1740787027 | Courtney N Clark | Speech-Language Pathologist | 731 N Klein Cir, Derby, KS 67037-7011 | 2018-04-12 |
| 1477079085 | Courtney Meadows Clark | Physician Assistant | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2017-08-15 |
| Street Address |
833 N 26TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912925033 | Michele Andrea Nowak-lareau | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233-1507 | 2006-07-17 |
| 1154942639 | Kari Lois Walters | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2020-05-06 |
| 1700410503 | Ana Solano-pacheco | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2020-03-02 |
| 1780242826 | Jennifer L Tomlin | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2019-06-04 |
| 1235604950 | Cassandra Elizabeth Hirsch | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233-1507 | 2018-10-09 |
| 1184135642 | Rachael Elizabeth Hefel | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233-1507 | 2017-10-23 |
| 1093226292 | Ellen Mccue | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233-1507 | 2017-10-16 |
| 1306366786 | Michelle Perez | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233 | 2017-06-26 |
| 1093268187 | Katthleen Llaurado | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233-1507 | 2016-07-26 |
| 1609239433 | Penfield Montessori Academy Inc | Local Education Agency (LEA) | 833 N 26th St, Milwaukee, WI 53233-1507 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
| 1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
| 1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
| 1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
| 1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
| 1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
| 1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
| 1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
| 1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
| 1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
| Find all providers in MILWAUKEE | ||||
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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.