TINA CLARK (NPI# 1730327040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730327040 |
| Entity Type | Individual |
| Full Name | TINA CLARK |
| Credential | LPC |
| Practice Address |
221 West Main Street Jefferson NC 28640-9723 |
| Practice Telephone | 3362464542 |
| Mailing Telephone | 3362464542 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7279 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363665 | Tina M Clark | Social Worker | 7150 Millbrook St, Shawnee, KS 66218-9235 | 2020-10-12 |
| 1366972978 | Tina Clark | Community/Behavioral Health | 2951 Albrecht Ave Apt 14, Akron, OH 44312-7406 | 2017-06-15 |
| 1164078069 | Tina Elizabeth Clark | Social Worker | 23700 Camino Del Sol, Torrance, CA 90505-5000 | 2019-08-15 |
| 1871000877 | Tina Marie Clark | Peer Specialist | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-12-29 |
| 1326583196 | Tina Clark | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-01-03 |
| 1386839843 | Tina Marie Clark | Rehabilitation Counselor | 7200 Skyway, Paradise, CA 95969-3280 | 2007-09-07 |
| 1104030899 | Tina Michelle Clark | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2007-05-10 |
| Street Address |
221 WEST MAIN STREET |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366502536 | New River Service Authority | Community/Behavioral Health | 221 West Main Street, Jefferson, NC 28640-9723 | 2006-12-11 |
| 1699809681 | Alisa A Morgan | Marriage & Family Therapist | 221 West Main Street, Jefferson, NC 28640-9723 | 2007-03-14 |
| 1669515615 | Larry Russ Turbyfill | Registered Nurse | 221 West Main Street, Jefferson, NC 28640-9723 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522863 | Brandon Shurn | Counselor | 4014 Mountville Rd # J, Jefferson, MD 21755-7713 | 2018-09-20 |
| 1821598491 | Kathryn Marie Stingl | Counselor | 115 S Fischer Ave, Jefferson, WI 53549-2123 | 2018-02-20 |
| 1306113279 | Navjot A. Redpath | Counselor | 1500 River Oaks Road W., Suite 100-a, Jefferson, LA 70123 | 2011-11-21 |
| 1326322934 | Ashleigh Gros Castro | Counselor | 2606 Audubon Trce, Jefferson, LA 70121-1561 | 2011-09-30 |
| 1346564416 | Allen Sinclair Young | Counselor | 827 Jefferson Walk Cir, Jefferson, GA 30549-5582 | 2010-03-18 |
| 1649425224 | Diane Wait | Counselor | 514 Mcconnell St, Jefferson, NC 28640-9789 | 2008-11-24 |
| 1225163603 | Jenny Diane Gibbs | Counselor | 224 North Main Street, Jefferson, NC 28640 | 2007-02-23 |
| 1477613180 | Todd S Capielano | Counselor | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2006-12-11 |
| 1184679680 | Martin Lyle Plog | Counselor | 2610 Highway 129 N, Jefferson, GA 30549-2652 | 2006-05-23 |
| 1922064864 | David John Ohrt | Counselor | 1217 W Lincolnway St, Jefferson, IA 50129-1671 | 2006-04-20 |
| Find all providers in JEFFERSON | ||||
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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.