KRISTA CLARK (NPI# 1609303312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609303312 |
| Entity Type | Individual |
| Full Name | KRISTA CLARK |
| Practice Address |
400 Prospect Pl Alpharetta GA 30005-5468 |
| Practice Telephone | 4048320058 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT000469 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073687224 | Krista M Clark | Specialist | 810 Hadley Ave, Old Hickory, TN 37138-3121 | 2006-11-20 |
| 1114935301 | Krista Jean Clark | Physical Therapist | 210 E Main St Ste 111, Midway, UT 84049-6828 | 2006-08-03 |
| 1457811515 | Krista Noel Clark | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2019-03-23 |
| 1073048567 | Krista Clark | Dietitian, Registered | 7700 University Dr, Fans, West Chester, OH 45069-2505 | 2017-04-22 |
| 1629336490 | Krista Renae Clark | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2012-04-30 |
| 1962727743 | Krista M Clark | Family Medicine | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2010-04-05 |
| 1023347481 | Krista Clark | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2009-12-15 |
| 1053352187 | Krista Carrie Clark | Dietitian, Registered | 450 E 23rd St, Fremont, NE 68025-2303 | 2006-06-09 |
| Street Address |
400 PROSPECT PL |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565334 | Gleyce Almeida-farrell | Social Worker | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2015-08-05 |
| 1982268835 | Courtney Rae Daniels | Social Worker | 400 Prospect Pl, Alpharetta, GA 30005 | 2019-04-25 |
| 1932664968 | Holistic Wellness Practice, LLC | Clinic/Center | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2019-02-04 |
| 1720555337 | Lindsey Anne Richards | Counselor | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2018-11-01 |
| 1508343708 | Jessica B Whyte | Counselor | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2018-07-20 |
| 1245722628 | Erika Rose Solloway | Counselor | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2018-06-01 |
| 1952841306 | Insightful Guidance Counseling LLC | Community/Behavioral Health | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2017-03-05 |
| 1760927503 | Alpharetta/johns Creek Counseling for Children and Adults | Counselor | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2017-01-04 |
| 1881138972 | Laurie Gordon Swope | Counselor | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2016-12-08 |
| 1700259363 | James L King | Counselor | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164087300 | Diann Chere Stuart | Marriage & Family Therapist | 4625 Alexander Dr Ste 240, Alpharetta, GA 30022-3722 | 2019-05-02 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1487154498 | The Holistic Coalition, LLC | Marriage & Family Therapist | 110 Red Bird Ct, Alpharetta, GA 30022-7133 | 2018-02-16 |
| 1952839938 | La Tonya Dunn | Marriage & Family Therapist | 5755 N Point Pkwy Ste 101, Alpharetta, GA 30022-1152 | 2017-06-02 |
| 1649476961 | Cheryl Ainbender Rhodes | Marriage & Family Therapist | 3240 Hartridge Dr, Alpharetta, GA 30022-7700 | 2007-06-24 |
| 1346456472 | Kristi M Sutter | Marriage & Family Therapist | 5755 N Point Pkwy Ste 205, Alpharetta, GA 30022-1170 | 2007-05-15 |
| 1821697475 | Moshe Manheim, Lcsw | Marriage & Family Therapist | 6740 Jamestown Dr., Alpharetta, GA 30005 | 2020-10-23 |
| 1639784747 | Jessica Bassett | Marriage & Family Therapist | 4625 Alexander Dr Ste 240, Alpharetta, GA 30022-3722 | 2020-09-15 |
| 1861057911 | Adaptive Therapy Counseling Group, LLC | Marriage & Family Therapist | 4625 Alexander Dr Ste 240, Alpharetta, GA 30022-3722 | 2019-05-03 |
| 1124503339 | Olivia Kioni-hendrieth | Marriage & Family Therapist | 288 S Main St, Alpharetta, GA 30009-7916 | 2018-10-03 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.