SHANNON CLARK (NPI# 1487149373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487149373 |
| Entity Type | Individual |
| Full Name | SHANNON CLARK |
| Practice Address |
90 Hospital Dr Athens OH 45701-2301 |
| Mailing Address |
Po Box 188 Chillicothe OH 45601-0188 |
| Practice Telephone | 7405923091 |
| Practice Fax Number | 7407733985 |
| Mailing Telephone | 7407734366 |
| Mailing Fax Number | 7407757855 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366931552 | Shannon Clark | Registered Nurse | 8201 S 61st St, Lincoln, NE 68516-5994 | 2018-05-03 |
| 1457786675 | Shannon Clark | Occupational Therapy Assistant | 860 W 132nd Ave, Spc 268, Westminster, CO 80234-1499 | 2013-09-06 |
| 1881726271 | Shannon Denise Clark | Nurse Practitioner | 2 Easton Oval Ste 450, Columbus, OH 43219-6035 | 2007-03-12 |
| 1760537617 | Shannon Renee Clark | Nurse Practitioner | 3128 Santa Rita Rd, Suite C, Pleasanton, CA 94566-8300 | 2007-01-23 |
| 1700940855 | Shannon Jackie Clark | Contractor | 10750 S Knoll Crest Ln, Tucson, AZ 85706-9052 | 2006-12-21 |
| 1720089311 | Shannon Lynn Clark | Chiropractor | 423 Main St, Reinbeck, IA 50669-1049 | 2005-08-03 |
| 1679021448 | Shannon Lorraine Clark | Speech-Language Pathologist | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | 2016-09-21 |
| 1508299777 | Shannon Joan Clark | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2013-08-12 |
| 1770916033 | Shannon M Clark | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2013-08-09 |
| 1700147436 | Shannon Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2012-05-29 |
| Street Address |
90 HOSPITAL DR |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693867 | Robby W Wyatt | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2005-10-13 |
| 1366049462 | Alec Kurth | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-10-02 |
| 1265047336 | Amy Bakies | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-15 |
| 1770198426 | Devin Warner | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-10 |
| 1629683529 | Celia D Anderson | Counselor | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-09 |
| 1649884651 | Kyrsten Copley | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-08 |
| 1407469851 | Rebecca Salmons | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-26 |
| 1487265203 | Jacelynn Renae Sharp | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-14 |
| 1437760899 | Ryan Gambill | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-11 |
| 1164033536 | Delia M Palmisano | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062218 | Mary Mckaleigh Cole | Counselor | 188 Ben Burton Circle, #100, Athens, GA 30266 | 2018-08-07 |
| 1033583612 | Annie Borba | Counselor | 519 Brewer St, Athens, TN 37303-4618 | 2015-11-19 |
| 1477833135 | Children's Crisis Prevention Network, Inc. | Counselor | 7479 State Highway 19 S, Athens, TX 75751-8979 | 2011-08-25 |
| 1770863573 | Gregory Rawson Davis | Counselor | 210 Deertree Dr, Athens, GA 30605-4576 | 2011-08-24 |
| 1669782322 | Dale Michael Minor | Counselor | 8699 Terrell Road, Athens, OH 45701-9325 | 2010-10-15 |
| 1326226978 | Mary Jo Dowdy | Counselor | 2340 Prince Ave, Athens, GA 30606-6004 | 2008-02-06 |
| 1306052394 | Jennifer Leanne Gonyea | Counselor | 1690 S Milledge Ave, Athens, GA 30605-1453 | 2007-05-15 |
| 1043432917 | Nelda F Yee | Counselor | 165 E Dougherty St, Athens, GA 30601-2608 | 2007-05-02 |
| 1023156528 | Marlene J Scheck | Counselor | 9322b Johnson Road, Athens, OH 45701-9028 | 2007-02-05 |
| 1356418040 | Mary Rose Hilchey | Counselor | 123 Washington Ave, Restoration Counseling, Athens, TN 37371 | 2006-11-29 |
| Find all providers in ATHENS | ||||
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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.