KIMBERLY S. CLARK (NPI# 1790931582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790931582 |
| Entity Type | Individual |
| Full Name | KIMBERLY S. CLARK |
| Credential | LPCC |
| Practice Address |
300 Foxglove Dr Mt Sterling KY 40353-9769 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 8594982135 |
| Practice Fax Number | 8594987547 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1636 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
| Street Address |
300 FOXGLOVE DR |
| City | MT STERLING |
| State | KY |
| Zip Code | 40353-9769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275556169 | Violet M. Luebs | Social Worker | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2006-07-25 |
| 1881202331 | Stephen Donithan | Community Health Worker | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-07-21 |
| 1548898737 | Kaitlyn French | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-04-01 |
| 1083248199 | Colleen Sexton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-02-27 |
| 1609417450 | Travis Paul Drake | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-10-02 |
| 1588214183 | Jerrica Shannon | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-09-16 |
| 1952967572 | Megan Sexton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-05-20 |
| 1740746486 | Mindy Thornberry | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-02-19 |
| 1336619204 | Christina Patton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2018-12-04 |
| 1609354620 | Carla Poskas | Social Worker | 300 Foxglove Dr, Mt Sterling, KY 40353 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1215414578 | Emily Renee Nickell | Optometrist | 1 N Maysville Street, Mt. Sterling, KY 40353 | 2018-07-19 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1760838452 | Tammy Mccarty Mccarty | Developmental Therapist | 104 Iroquois Drive, Mount Sterling, KY 40353 | 2016-05-11 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1508285024 | Natalie Spencer | Counselor | 37 North Maysville St., Mt. Sterling, KY 40353 | 2014-04-11 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1477999241 | Mckenzie S Grey | Physical Therapy Assistant | 624 North Maysville Ave, Mt Sterling, KY 40353 | 2013-05-20 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1487930483 | Nathan Corey Rusher | Dentist | 635 N. Maysville St., Ste B, Mount Sterling, KY 40353 | 2011-10-24 |
| Find all providers in zip 40353 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164642062 | Beth Stephens | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1205056090 | Jeri Howell | Counselor | 210 Country Lane, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1174651327 | Ada Rose Braun | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2007-03-01 |
| 1609417450 | Travis Paul Drake | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-10-02 |
| 1780109827 | Commonwealth Behavioral Health & Counseling | Counselor | 10 Court St, Mt Sterling, KY 40353-1303 | 2017-08-10 |
| 1083070122 | Emily Zimmerman | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2016-01-05 |
| 1508239229 | Charlotte Farris | Counselor | 10 Court St, Mt Sterling, KY 40353 | 2015-11-03 |
| 1467822205 | Jonathan Schinhofen | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353 | 2015-10-06 |
| 1730563156 | Gateway Juvenile Diversion Project, Inc | Counselor | 37 North Maysville St., Mt Sterling, KY 40353 | 2015-07-15 |
| 1487043584 | Angel D. Conley | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2015-01-13 |
| Find all providers in MT STERLING | ||||
| City | MT STERLING |
| Zip Code | 40353 |
Please comment or provide details below to improve the information on KIMBERLY S. CLARK.
| 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.