MS. CAROLINE JUNE CLARK (NPI# 1619488350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619488350 |
| Entity Type | Individual |
| Full Name | MS. CAROLINE JUNE CLARK |
| Credential | LMFT; LCPC; CRC |
| Practice Address |
1489 W Warm Springs Rd Henderson NV 89014-7635 |
| Mailing Address |
860 Zinnia Cir Henderson NV 89015-2736 |
| Practice Telephone | 7023733362 |
| Mailing Telephone | 7025663671 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 01123 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992205975 | Caroline Clark | Counselor | 1878 S Genoa St, Aurora, CO 80017-4620 | 2018-02-16 |
| 1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
| 1366979825 | Caroline Gray Clark | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2017-05-16 |
| 1083151047 | Caroline Clark | Physical Therapist | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 | 2017-01-27 |
| 1992189237 | Caroline Shaffner Clark | Physician Assistant | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2015-07-16 |
| 1336536317 | Caroline Clark | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2015-04-17 |
| 1972933810 | Caroline Carmela Clark | Psychiatry & Neurology | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2013-11-13 |
| 1962771568 | Caroline Lee Clark | Nurse Practitioner | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2011-12-28 |
| 1033487376 | Caroline Kelly Clark | Social Worker | 121 London Rd, Asheville, NC 28803-2707 | 2011-12-01 |
| 1861586182 | Caroline Clark | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2006-10-03 |
| Street Address |
1489 W WARM SPRINGS RD |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-7635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866819 | Wilford Scott Biggs | Dentist | 1489 W Warm Springs Rd, Suite 125, Henderson, NV 89014-7635 | 2006-01-23 |
| 1669893970 | Teri Belmont | Psychologist | 1489 W Warm Springs Rd, Suite 110, Henderson, NV 89014-7635 | 2014-01-05 |
| 1902115181 | Terrance J Shaw | Counselor | 1489 W Warm Springs Rd, 110, Henderson, NV 89014-7635 | 2010-10-05 |
| 1346559531 | Montone White | Counselor | 1489 W Warm Springs Rd, 110, Henderson, NV 89014-7635 | 2010-10-05 |
| 1275841710 | T-n-t Resilience Training, LLC | Community/Behavioral Health | 1489 W Warm Springs Rd, Ste 110, Henderson, NV 89014-7635 | 2010-09-17 |
| 1225359318 | W Scott Biggs Dds, Ltd | Dentist | 1489 W Warm Springs Rd, Suite 125, Henderson, NV 89014-7635 | 2010-06-12 |
| 1477881837 | Paulette Goldstein | Speech-Language Pathologist | 1489 W Warm Springs Rd, 110, Henderson, NV 89014-7635 | 2009-11-24 |
| 1245430446 | Isd Las Vegas LLC | Clinic/Center | 1489 W Warm Springs Rd, Ste 122, Henderson, NV 89014-7637 | 2007-07-25 |
| 1033285572 | Lisa Brooke Shaffer | Psychologist | 1489 W Warm Springs Rd, Ste 110, Henderson, NV 89014-7367 | 2006-11-27 |
| 1588683403 | Brian Haymore | Dentist | 1489 W Warm Springs Rd, #125, Henderson, NV 89014-7635 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| 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 |
|---|---|---|---|---|
| 1659993533 | Sydney Denton Erskine | Marriage & Family Therapist | 2336 Rosendale Village Ave, Henderson, NV 89052-8731 | 2020-05-13 |
| 1669001558 | Kaitlin Andrewjeski | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201a, Henderson, NV 89052-2698 | 2020-04-03 |
| 1205460193 | Aubrey Wadman-goetsch | Marriage & Family Therapist | 2518 Anthem Village Dr Ste 103, Henderson, NV 89052-5554 | 2020-02-28 |
| 1699236190 | Samantha Margaret Bloom | Marriage & Family Therapist | 2920 N Green Valley Pkwy Ste 321, Henderson, NV 89014-0412 | 2019-03-27 |
| 1417417809 | Brynda Jena Cullison | Marriage & Family Therapist | 2501 N Green Valley Pkwy Bldg D, Henderson, NV 89014-0273 | 2019-03-21 |
| 1255896106 | Angel R Alonso | Marriage & Family Therapist | 2920 N Green Valley Pkwy Bldg 3-321, Henderson, NV 89014-0406 | 2019-02-05 |
| 1659840163 | Tamara James | Marriage & Family Therapist | 210 3rd St Ste 2, Henderson, KY 42420-2904 | 2018-11-14 |
| 1487121695 | Alexis Florence | Marriage & Family Therapist | 3041 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052-4444 | 2018-10-25 |
| 1235625500 | Timothy M Hubbard | Marriage & Family Therapist | 2501 N Green Valley Pkwy Ste 116118, Henderson, NV 89014-0273 | 2018-07-10 |
| 1700323896 | Cherelle Ola | Marriage & Family Therapist | 2824 Via Terra St, Henderson, NV 89074-1446 | 2017-01-26 |
| Find all providers in HENDERSON | ||||
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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.