CHRISTOPHER LEE CLARK (NPI# 1386208171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386208171 |
Entity Type | Individual |
Full Name | CHRISTOPHER LEE CLARK |
Practice Address |
4032 M 139 Ste 108 Saint Joseph MI 49085-8664 |
Practice Telephone | 2695561526 |
Mailing Telephone | 2695561526 |
Enumeration Date | 2019-04-26 |
Last Update Date | 2019-04-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
1801383351 | Christopher Clark | Case Management | 43a Richfield Rd, Upper Darby, PA 19082-2517 | 2018-04-20 |
1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
1427480490 | Christopher James Clark | Counselor | 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 | 2013-08-01 |
1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
1992053474 | Christopher Tad Clark | Counselor | 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 | 2012-08-15 |
1215257217 | Christopher David Clark | Physical Medicine & Rehabilitation | 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 | 2010-06-02 |
1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
Street Address |
4032 M 139 STE 108 |
City | SAINT JOSEPH |
State | MI |
Zip Code | 49085-8664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760046734 | Nicole A Lee | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-25 |
1346802311 | Lakisha Allen | Nurse's Aide | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-06-30 |
1235795709 | Bridgette A Butler | Nurse's Aide | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-05-10 |
1871157669 | Fred Henry Frese | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1891359634 | Johnny Lee Jordan | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1396309274 | Leeann C Staggs | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1245894120 | Meghan Donnelle Dawson | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1952965790 | Karol Lynn Deboer | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
Find all providers in zip 49085 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760046734 | Nicole A Lee | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-25 |
1316400385 | Sharon Jordan | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-04-08 |
1801442876 | Raymond James Fleming | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-08-14 |
1871157669 | Fred Henry Frese | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1891359634 | Johnny Lee Jordan | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1396309274 | Leeann C Staggs | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1245894120 | Meghan Donnelle Dawson | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1952965790 | Karol Lynn Deboer | Peer Specialist | 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 | 2019-04-26 |
1437713419 | Jeremy Grant Bishop | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-04-25 |
1710440474 | Savannah Neighbors | Peer Specialist | 4032 M 139, Saint Joseph, MI 49085-8665 | 2019-04-10 |
Find all providers in SAINT JOSEPH |
City | SAINT JOSEPH |
Zip Code | 49085 |
Please comment or provide details below to improve the information on CHRISTOPHER LEE CLARK.
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.