TINA CLARK (NPI# 1366972978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366972978 |
| Entity Type | Individual |
| Full Name | TINA CLARK |
| Practice Address |
2951 Albrecht Ave Apt 14 Akron OH 44312-7406 |
| Mailing Address |
2951 Albrecht Ave Apt 14 Akron OH 44312-2832 |
| Practice Telephone | 3308588475 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363665 | Tina M Clark | Social Worker | 7150 Millbrook St, Shawnee, KS 66218-9235 | 2020-10-12 |
| 1164078069 | Tina Elizabeth Clark | Social Worker | 23700 Camino Del Sol, Torrance, CA 90505-5000 | 2019-08-15 |
| 1871000877 | Tina Marie Clark | Peer Specialist | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-12-29 |
| 1326583196 | Tina Clark | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-01-03 |
| 1730327040 | Tina Clark | Counselor | 221 West Main Street, Jefferson, NC 28640-9723 | 2009-01-23 |
| 1386839843 | Tina Marie Clark | Rehabilitation Counselor | 7200 Skyway, Paradise, CA 95969-3280 | 2007-09-07 |
| 1104030899 | Tina Michelle Clark | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2007-05-10 |
| Street Address |
2951 ALBRECHT AVE APT 14 |
| City | AKRON |
| State | OH |
| Zip Code | 44312-7406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536604 | Taryn Maureen Bell | Contractor | 2727 Rapids Way, Akron, OH 44312 | 2020-07-30 |
| 1497378350 | Modern Hearing Solutions of Akron Inc. | Audiologist-Hearing Aid Fitter | 2745 S. Arlington Road #b, Akron, OH 44312 | 2020-05-26 |
| 1790349819 | Christine Lynn Cannell | Nurse Practitioner | 3593 S Arlington Road, Suite D, Akron, OH 44312 | 2019-04-24 |
| 1780122168 | Compass Counseling Services, LLC | Counselor | 1033 E Turkeyfoot Lake Rd Ste 104, Akron, OH 44312 | 2017-02-06 |
| 1306204052 | Detra Antoine | Nurse's Aide | 3095 Forest Pk Blvd, Akron, OH 44312 | 2016-02-09 |
| 1154731164 | Barbara Simione | Licensed Practical Nurse | 500 James Avenue, Akron, OH 44312 | 2014-04-29 |
| 1891099479 | Maxwell Medical Supplies and Healthcare | Durable Medical Equipment & Medical Supplies | 1474 Manchester Road, Akron, OH 44312 | 2010-12-22 |
| 1972751204 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3155 Pickle Road, Akron, OH 44312 | 2008-08-28 |
| 1326233487 | Lisa Jean Foster | Nurse Practitioner | 4125 Medina Road, Suite 104, The Surgery Center, Akron, OH 44312 | 2007-09-12 |
| 1639362825 | Rachelle De Ann Taylor | Nurse's Aide | 1920 N Garden Ct, Apt 1b, Akron, OH 44312 | 2007-08-22 |
| Find all providers in zip 44312 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1295396075 | Safety Forces Support Center | Community/Behavioral Health | 501 W Market St Ste 313, Akron, OH 44303-1842 | 2019-06-24 |
| 1164913919 | Panacea Recovery Advocates & Wellness | Community/Behavioral Health | 1101 Portage Trail Ext Ste 3, Akron, OH 44313-8250 | 2018-05-27 |
| 1780199489 | Truly Reaching You Inc. | Community/Behavioral Health | 587 Baird St, Akron, OH 44311-1804 | 2017-12-05 |
| 1891209581 | F I Community Housing, Inc. | Community/Behavioral Health | 619 Johnston St, Akron, OH 44311-1856 | 2017-11-17 |
| 1073043782 | Community of Christ Church, Inc | Community/Behavioral Health | 834 Grant St, Akron, OH 44311-2136 | 2017-06-14 |
| 1568916922 | Akron Umadaop | Community/Behavioral Health | 665 W Market St, Akron, OH 44303-1438 | 2016-08-15 |
| 1306205752 | Safe Haven Partners LLC | Community/Behavioral Health | 1021 Chalker St, Akron, OH 44310-1313 | 2016-02-14 |
| 1376917195 | Live Change Grow Corporation | Community/Behavioral Health | 1440 Virginia Ave, Akron, OH 44306-3610 | 2015-11-17 |
| 1376971978 | Next To Kin Supportive Services | Community/Behavioral Health | 1149 Bethany Ave, Akron, OH 44305-2612 | 2013-10-17 |
| Find all providers in AKRON | ||||
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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.