RON WAYNE CLARK (NPI# 1801010012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801010012 |
| Entity Type | Individual |
| Full Name | RON WAYNE CLARK |
| Practice Address |
2422 Oriole Ln Santa Cruz CA 95062-4262 |
| Practice Telephone | 8318188894 |
| Mailing Telephone | 8188188894 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511598 | Ron Clark | Orthopaedic Surgery | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-07-08 |
| Street Address |
2422 ORIOLE LN |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-4262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| 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 |
|---|---|---|---|---|
| 1780204842 | Deitra Dean Mcmahon | Counselor | 700 Frederick St Ste C, Santa Cruz, CA 95062-2239 | 2020-04-19 |
| 1699281469 | Jay Kevin Pierce | Counselor | 250 California St, Santa Cruz, CA 95060-4214 | 2017-12-15 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1740705318 | Emily Cox | Counselor | 726 Nobel Dr Unit C, Santa Cruz, CA 95060-2335 | 2017-08-04 |
| 1114384948 | Julius Mills-denti | Counselor | 737 7th Ave, Santa Cruz, CA 95062-2704 | 2016-01-25 |
| 1982027439 | Hallie Patricia Cohen | Counselor | 300 Harvey West Blvd., Santa Cruz, CA 95060 | 2014-02-03 |
| 1972741841 | Katie Elizabeth Giannini | Counselor | 340 Soquel Ave Ste 207, Santa Cruz, CA 95062 | 2009-01-29 |
| 1326299058 | Karen E Tyrrell | Counselor | 707 Fair Ave., Santa Cruz, CA 95060 | 2008-09-30 |
| 1417171117 | Elena Gutierrez | Counselor | 709 Mission St, Santa Cruz, CA 95060-3614 | 2007-04-12 |
| 1760081632 | Alex Wishard | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-22 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.