JEANETTE MARIE CLARKE (NPI# 1679097406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679097406 |
| Entity Type | Individual |
| Full Name | JEANETTE MARIE CLARKE |
| Practice Address |
81-6587 Mamalahoa Hwy Bldg C Kealakekua HI 96750 |
| Mailing Address |
91-1841 Fort Weaver Rd Ewa Beach HI 96706-1909 |
| Practice Telephone | 8083232664 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| 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 |
|---|---|---|---|---|
| 1164799870 | Jeanette Clarke | Speech-Language Pathologist | 2386 Morris Ave, Apt. 5e, Bronx, NY 10468-6645 | 2011-11-23 |
| Street Address |
81-6587 MAMALAHOA HWY BLDG C |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982616 | Jeffrey Winston Cumes | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C #23, Kealakekua, HI 96750-8133 | 2006-05-23 |
| 1407472608 | Michelle Felix | Specialist | 81-6587 Mamalahoa Hwy, Bldg C Suite 101, Kealakekua, HI 96750 | 2020-06-23 |
| 1134749492 | Desiree Jenkins | Registered Nurse | 81-6587 Mamalahoa Hwy, Kealakekua, HI 96750 | 2020-04-16 |
| 1336772094 | Anne Julia Padilla | Behavior Technician | 81-6587 Mamalahoa Hwy, Pualani Terrace #c, Kealakekua, HI 96750 | 2020-02-20 |
| 1144860602 | Stephanie Bates | Psychologist | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2020-01-13 |
| 1457902876 | Lindsay Roth | Social Worker | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-26 |
| 1194376731 | Mara Tepper | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-25 |
| 1013498534 | Michelle M Lang | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2018-08-23 |
| 1790296283 | Kyra Jones | Counselor | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2017-10-24 |
| 1184161036 | Sun Yun | Acupuncturist | 81-6587 Mamalahoa Hwy, A101, Kealakekua, HI 96750 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| 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 |
|---|---|---|---|---|
| 1922430859 | Keli Mutscheller | Counselor | 81 6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2013-08-02 |
| 1053546085 | Jizelle Vicenta Malia Yates Rice | Counselor | 81-6587 Mamalahoa Hwy., Suite C-203, Kealakekua, HI 96750 | 2009-05-19 |
| 1790296283 | Kyra Jones | Counselor | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2017-10-24 |
| 1720433139 | Judit Brissette | Counselor | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2016-05-04 |
| 1730544073 | Kristy Lungo | Counselor | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2015-12-30 |
| 1407150246 | Jerry D Leggett | Counselor | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2011-01-10 |
| 1558514190 | Lisa A Allen | Counselor | 81-6587 Mamalahoa Hwy, Kealakekua, HI 96750-8133 | 2008-10-28 |
| 1396993341 | Dorothy J Weber | Counselor | 81-6587 Mamalahoa Hwy, Kealakekua, HI 96750-8133 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1164052767 | Miriam Gallardo Feliciano | Counselor | 639 Puuhale Rd, Honolulu, HI 96819-3303 | 2020-01-22 |
| 1548810898 | Raymond Black IIi | Counselor | 985 Dillingham Blvd Ste 100, Honolulu, HI 96817-5772 | 2019-09-18 |
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1720640949 | Tesa Le Anne Tapuriah | Counselor | 1506 Piikoi St Apt 1104, Honolulu, HI 96822-6109 | 2019-07-08 |
| 1679132526 | Mana Therapeutics LLC | Counselor | 2835e Kolowalu St, Honolulu, HI 96822-1851 | 2019-06-12 |
| 1902365406 | Angelique Stephanie Johnson | Counselor | 1419 Auwaiku St, Kailua, HI 96734-3702 | 2019-03-14 |
| 1407311301 | Christopher Lynn Carter | Counselor | 1286 Kalani St Ste B204, Honolulu, HI 96817-4947 | 2019-02-05 |
| 1467925446 | Crystal M Dempster | Counselor | 94-229 Waipahu Depot St Ste 207, Waipahu, HI 96797-3032 | 2019-01-02 |
| 1033697842 | Spring Richardson | Counselor | 95-213 Hoakea Pl, Mililani, HI 96789-5570 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
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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.