MS. CHRISTY JOY CLARK (NPI# 1679565907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679565907 |
| Entity Type | Individual |
| Full Name | MS. CHRISTY JOY CLARK |
| Credential | BA |
| Practice Address |
701 Chestnut St Lebanon PA 17042-5225 |
| Mailing Address |
632 Cumberland St Lebanon PA 17042-5230 |
| Practice Telephone | 7172742741 |
| Practice Fax Number | 7172745405 |
| Mailing Telephone | 7172731710 |
| Mailing Fax Number | 7172731416 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421555 | Christy Marie Clark | Nurse Practitioner | 516 Vance Hill Rd, Danville, VA 24540-6406 | 2020-06-10 |
| 1154608503 | Christy Lynn Clark | Counselor | 3978 Arbol Ct, Boulder, CO 80301-1752 | 2011-11-14 |
| 1144571548 | Christy Dawn Clark | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2012-09-25 |
| 1023392198 | Christy Clark | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2011-10-06 |
| 1477794949 | Christy Ann Clark | Internal Medicine | 401 Matthew St, Marietta, OH 45750-1635 | 2009-03-13 |
| 1326136995 | Christy C. Clark | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-10-10 |
| 1760411102 | Christy A Clark | Psychologist | 300 W Main St, Bldg A, Northborough, MA 01532-2132 | 2006-06-30 |
| Street Address |
701 CHESTNUT ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903584 | Jennie R Streich | Social Worker | 701 Chestnut St, Lebanon, PA 17042 | 2005-06-28 |
| 1902066939 | Erin J Nieves | Counselor | 701 Chestnut St, Lebanon, PA 17042-5225 | 2008-06-12 |
| 1821255381 | Joy E. Zito | Counselor | 701 Chestnut St, Lebanon, PA 17042-5225 | 2008-05-21 |
| 1407857899 | Tammy Lee Rade | Counselor | 701 Chestnut St, Lebanon, PA 17042-5225 | 2005-08-09 |
| 1770580359 | Jean T Lewis | Counselor | 701 Chestnut St, Lebanon, PA 17042-5225 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1336775162 | Melinda Butterfield | Counselor | 2515 Stoltz Hill Rd, Lebanon, OR 97355-1146 | 2020-03-12 |
| 1073145330 | Jamie L Ralston | Counselor | 5232 W State Route 63, Lebanon, OH 45036-8202 | 2020-02-05 |
| 1114480381 | Courtney Nicole Mudd | Counselor | 65 Old Springfield Rd Ste 2, Lebanon, KY 40033-9185 | 2019-04-12 |
| 1407356892 | Susannah Williams | Counselor | 1700 S Lincoln Ave Fl 3, Lebanon, PA 17042-7529 | 2018-02-13 |
| 1861853657 | Justin Donnelly | Counselor | 135 Quita Cir Apt B, Lebanon, TN 37087-4440 | 2016-03-08 |
| 1407213465 | Benjamin Peavey | Counselor | 1 Hough St, Lebanon, NH 03766-1213 | 2016-01-21 |
| 1093107856 | Leslie D Anders | Counselor | 204 Cook Rd Ste 400, Lebanon, OH 45036-9600 | 2015-03-03 |
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1063776037 | Tammy Lynn Mattingly | Counselor | 2894 Sam Browning Rd, Lebanon, KY 40033-9114 | 2012-06-25 |
| 1114205739 | Katie Baghli | Counselor | 204 Hathaway Park, Lebanon, PA 17042-6162 | 2011-07-31 |
| Find all providers in LEBANON | ||||
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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.