COLLEEN CLARK (NPI# 1467936799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467936799 |
| Entity Type | Individual |
| Full Name | COLLEEN CLARK |
| Credential | LMHC |
| Practice Address |
2520 Dartmouth Ave N St Petersburg FL 33713-7818 |
| Practice Telephone | 9414474490 |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2018-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
15359 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | O | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962582858 | Colleen L Clark | Counselor | 402 E Fulton Ste #5, New Choices-n-beginnings, Garden City, KS 67846 | 2006-10-16 |
| 1447208707 | Colleen Clark | Psychologist | 8066 N 56th St, Temple Terrace, FL 33617-7620 | 2006-05-05 |
| 1780230458 | Colleen Clark | Pharmacist | 600 Us Route 1, Scarborough, ME 04074-9776 | 2019-08-17 |
| 1699336271 | Colleen E Clark | Counselor | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2019-06-25 |
| 1164852679 | Colleen Clark | Veterinarian | 3975 Princeton Pike, Princeton, NJ 08540-4739 | 2013-11-19 |
| 1255437208 | Colleen Marie Clark | Occupational Therapist | 10 N Greene St, Baltimore Va, Occupational Therapy Dept. 2d-103, Baltimore, MD 21201-1524 | 2006-09-16 |
| 1356333066 | Colleen Ann Clark | Pharmacist | 456 W 10th Ave, Osu Clinical Partners Program, Columbus, OH 43210-1240 | 2005-08-18 |
| Street Address |
2520 DARTMOUTH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568862597 | Catherine L Gibson | Counselor | 534 93rd Ave N, St Petersburg, FL 33702-3038 | 2014-08-27 |
| 1649459645 | Wendy Lynn Wood | Counselor | 467 1st Ave N, St Petersburg, FL 33701-3802 | 2007-10-26 |
| 1821299330 | Bay Harbor Behavior Associates Inc. | Counselor | 930 Snell Isle Blvd Ne, St Petersburg, FL 33704-3830 | 2007-05-31 |
| 1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
| 1891263356 | Ashley Lynn Caputo | Counselor | 735 Arlington Ave N Ste 210, St Petersburg, FL 33701-3653 | 2018-11-02 |
| 1548576499 | Barnes Holistic Counseling Therapy Institute | Counselor | 2510 1st Ave S, St Petersburg, FL 33712-1106 | 2010-08-28 |
| 1235257486 | Louise Kay Auriemma | Counselor | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2007-03-27 |
| 1023141280 | Apt Associates - A Consult Group | Counselor | 695 Central Ave, Ste 150f, St Petersburg, FL 33701-3669 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739038 | Lori Carol Helms | Counselor | 311 Us Highway 27 S, Sebring, FL 33870-2106 | 2020-10-29 |
| 1326646407 | Cheryl A Scott | Counselor | 3778 Suffolk Dr, Tallahassee, FL 32309-3005 | 2020-10-12 |
| 1134727274 | Inner Peace Counseling & Wellness | Counselor | 334 E Lake Rd Dept 280, Palm Harbor, FL 34685-2427 | 2020-10-12 |
| 1003413923 | Kristen Thompson | Counselor | 519 Briarwood Dr, Pensacola, FL 32506-6220 | 2020-10-04 |
| 1073120432 | Grow Mental Health Services, LLC | Counselor | 3585 Cedar Park Ln, Panama City, FL 32404-3824 | 2020-09-29 |
| 1528675162 | Ct Counseling, LLC | Counselor | 23051 Nw County Road 200a, Lawtey, FL 32058-4215 | 2020-09-28 |
| 1275140170 | Jerrai Rochelle Young | Counselor | 5111 Galloway Rd, Graceville, FL 32440-4309 | 2020-09-25 |
| 1770198129 | Jeanine Smith | Counselor | 7433 Se Marsh Fern Ln, Hobe Sound, FL 33455-7844 | 2020-09-12 |
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1164036059 | Dorelys Raquel Rivera | Counselor | 479 Basking Ridge Ct, Ocoee, FL 34761-1721 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on COLLEEN 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.