JACQUELINE RAE CARLISLE-BERKLEY (NPI# 1487886933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487886933 |
| Entity Type | Individual |
| Full Name | JACQUELINE RAE CARLISLE-BERKLEY |
| Credential | LPC-MHSP |
| Practice Address |
130 Hillcrest Dr Suite 204 Clarksville TN 37043-5064 |
| Practice Telephone | 9314946803 |
| Mailing Telephone | 9314946803 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3208 | TN | Behavioral Health & Social Service Providers |
| Street Address |
130 HILLCREST DR SUITE 204 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282870 | James R Hebda | Psychologist | 130 Hillcrest Dr, Suite 107, Clarksville, TN 37043-5000 | 2005-08-10 |
| 1750759544 | The Holly Center, Pllc | Community/Behavioral Health | 130 Hillcrest Dr, 203, Clarksville, TN 37043-5064 | 2015-09-10 |
| 1790164382 | Yolonda Elaine Stone-cowan | Social Worker | 130 Hillcrest Dr, Suite 203, Clarksville, TN 37043-5064 | 2015-05-28 |
| 1336578863 | Symponia, LLC | In Home Supportive Care | 130 Hillcrest Dr, Suite 106, Clarksville, TN 37043-5064 | 2013-11-05 |
| 1467880591 | Ross Behavioral Group | Counselor | 130 Hillcrest Dr, Clarksville, TN 37043-5064 | 2013-10-29 |
| 1831363613 | Jodie Robison | Counselor | 130 Hillcrest Dr, Suite 213, Clarksville, TN 37043-5064 | 2008-04-14 |
| 1043363302 | Salvatore Zingale | Psychologist | 130 Hillcrest Dr, Suite 112, Clarksville, TN 37043-5000 | 2007-01-19 |
| 1518909910 | Edward Robert Kovach | Psychologist | 130 Hillcrest Dr, Clarksville, TN 37043-5064 | 2006-06-11 |
| 1124029251 | Daniel Rachlin | Psychologist | 130 Hillcrest Dr, Suite 107, Clarksville, TN 37043-5000 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553599 | Spring Forth Counseling | Counselor | 2515 Wilma Rudolph Blvd Ste 107, Clarksville, TN 37040-5824 | 2020-06-22 |
| 1033734843 | Elizabeth Ann Abruzzese | Counselor | 404 Carson Bailey Ct, Clarksville, TN 37043-1543 | 2020-06-08 |
| 1811511595 | Tamika Payne | Counselor | 3407 Queensbury Rd, Clarksville, TN 37042-8152 | 2020-05-29 |
| 1457988370 | Chandra Christine Moma | Counselor | 2517 Remington Trce, Clarksville, TN 37043-1619 | 2020-03-23 |
| 1932735024 | Douglas Anthony Dixon | Counselor | 1611 Johnson Ln, Clarksville, IN 47129-1405 | 2020-03-20 |
| 1023658648 | Aimee Vaughn | Counselor | 3452 Heatherwood Trce, Clarksville, TN 37040-5735 | 2020-01-11 |
| 1811539539 | Phillip Haney | Counselor | 2032 Lintwood Dr, Clarksville, TN 37042-4107 | 2019-10-15 |
| 1396387171 | Phoenix Rising Counseling LLC | Counselor | 2535 Madison St Ste E, Clarksville, TN 37043-3921 | 2019-10-12 |
| 1194371807 | Elizabeth B Thomas | Counselor | 1662 Golf Club Ln, Clarksville, TN 37043-4897 | 2019-08-18 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on JACQUELINE RAE CARLISLE-BERKLEY.
| 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.