ELIZABETH CLARK (NPI# 1790271427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790271427 |
| Entity Type | Individual |
| Full Name | ELIZABETH CLARK |
| Credential | AMFT |
| Practice Address |
1129 Marsh St San Luis Obispo CA 93401 |
| Mailing Address |
1129 Marsh St San Luis Obispo CA 93401-3323 |
| Practice Telephone | 8055437969 |
| Mailing Telephone | 8055437969 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT106567 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| Street Address |
1129 MARSH ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1740794379 | Caroline Arlene Wales | Counselor | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2017-11-17 |
| 1558872259 | Betty Ann Purify | Student in an Organized Health Care Education/Training Program | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2017-10-20 |
| 1023567963 | Paul White | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-10-03 |
| 1730633207 | Community Counseling Center | Community/Behavioral Health | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-08-12 |
| 1447609904 | Melissa Ann Monji | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-06-06 |
| 1417311267 | Deborah Dueck | Counselor | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-04-07 |
| 1740646264 | Shelley Lynn Shields | Counselor | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-01-13 |
| 1508231705 | Sarah Becker | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-12-14 |
| 1902271141 | Patricia Woodward | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1245868769 | Michael Mazzella | Marriage & Family Therapist | 1190 Marsh St Ste E, San Luis Obispo, CA 93401-3332 | 2020-03-30 |
| 1669005609 | Serena Jade Andrews | Marriage & Family Therapist | 1461 Higuera St Ste C, San Luis Obispo, CA 93401-2948 | 2020-02-18 |
| 1437655529 | Pamela Suraci | Marriage & Family Therapist | 3591 Sacramento Dr Ste 116, San Luis Obispo, CA 93401-7256 | 2018-04-05 |
| 1588174999 | Erin Lynn Lindvall | Marriage & Family Therapist | 895 Aerovista Pl Ste 106, San Luis Obispo, CA 93401-8725 | 2017-10-11 |
| 1053859116 | Julie Messer | Marriage & Family Therapist | 697 Higuera St, Suite D, San Luis Obispo, CA 93401-3544 | 2017-02-08 |
| 1013465210 | Pamela Kremza | Marriage & Family Therapist | 508 Higuera St, San Luis Obispo, CA 93401-3835 | 2016-09-15 |
| 1467805333 | Shelley Triggs | Marriage & Family Therapist | 1264 Higuera St Ste 100, San Luis Obispo, CA 93401-3171 | 2016-07-15 |
| 1225485147 | Melissa Carol Campe | Marriage & Family Therapist | 3392 Rockview Pl, Apt #1, San Luis Obispo, CA 93401-6787 | 2016-05-20 |
| 1194187369 | Stephanie Baisa Wilson | Marriage & Family Therapist | 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 | 2016-03-25 |
| 1134500192 | Anne Appel | Marriage & Family Therapist | 1461 Higuera Street, Suite B, San Luis Obispo, CA 93401-3722 | 2015-06-16 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.