ANDREA RENEE CLARK (NPI# 1861626293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861626293 |
| Entity Type | Individual |
| Full Name | ANDREA RENEE CLARK |
| Practice Address |
7180 Cascade Valley Ct Ste 200 Las Vegas NV 89128 |
| Mailing Address |
11108 Rossi Ave Las Vegas NV 89144-4030 |
| Practice Telephone | 7025701521 |
| Practice Fax Number | 7026655876 |
| Mailing Telephone | 7025701521 |
| Mailing Fax Number | 7026655876 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 01223 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NPI | 1861626293 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182309 | Andrea K Clark | Occupational Therapist | 920 Goldenrod Ln, Hickman, NE 68372-9509 | 2018-07-30 |
| 1407238660 | Andrea Clark | Contractor | 2300 Seaman St, Apt. 101, Toledo, OH 43605-1952 | 2015-06-24 |
| 1114359049 | Andrea Clark | Physical Therapist | 531 Madison St, Albany, CA 94706-1116 | 2013-08-02 |
| 1003124223 | Andrea Nicole Clark | Licensed Practical Nurse | 9869 State Route 141, Kitts Hill, OH 45645-8649 | 2010-09-22 |
| 1295057362 | Andrea Serina Clark | Speech-Language Pathologist | 7497 Oak Tree Ln, Spring Hill, FL 34607-2324 | 2010-02-17 |
| 1336369602 | Andrea Walser Clark | Counselor | 157 Walser Way, Advance, NC 27006-7341 | 2007-04-27 |
| 1912034596 | Andrea Rachele Clark | Psychologist | 1818 W Lindsey St Ste C120, Norman, OK 73069-4169 | 2007-02-28 |
| 1477593580 | Andrea Clark | Counselor | 120 W 57th St, 8th Floor, New York, NY 10019-3320 | 2006-06-07 |
| 1558999672 | Andrea Clark | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-04-01 |
| 1306359948 | Andrea Clark | Counselor | 10 Southard St, Trenton, NJ 08609-1020 | 2017-11-06 |
| Street Address |
7180 CASCADE VALLEY CT STE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922137124 | Jody Williams | Social Worker | 7180 Cascade Valley Ct Ste 200, Las Vegas, NV 89128-0481 | 2007-03-05 |
| 1447877659 | Steven Antolin | Social Worker | 7180 Cascade Valley Ct Ste 200, Las Vegas, NV 89128-0481 | 2020-07-03 |
| 1518448695 | Lisa Marie Roberson | Social Worker | 7180 Cascade Valley Ct Ste 200, Las Vegas, NV 89128-0481 | 2018-08-27 |
| 1235636325 | Shayla Williams | Social Worker | 7180 Cascade Valley Ct Ste 200, Las Vegas, NV 89128-0481 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| 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 |
|---|---|---|---|---|
| 1699382424 | Angelic Solution Wellness Center, LLC | Marriage & Family Therapist | 3600 Monarcas St Unit 102, Las Vegas, NV 89108-8718 | 2020-09-25 |
| 1396350914 | Victoria Denise Means | Marriage & Family Therapist | 4535 W Russell Rd, Las Vegas, NV 89118-2257 | 2020-09-10 |
| 1215549357 | Caitlyn Gilmour | Marriage & Family Therapist | 2915 W Charleston Blvd Ste 130, Las Vegas, NV 89102-1975 | 2020-08-19 |
| 1801415344 | Adrienne Oneal | Marriage & Family Therapist | 10655 Park Run Dr Ste 200, Las Vegas, NV 89144-4590 | 2020-04-14 |
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1457999195 | Julie Robinson | Marriage & Family Therapist | 601 S Rancho Dr Ste 10, Las Vegas, NV 89106-4899 | 2019-12-12 |
| 1588209027 | Mark Stets | Marriage & Family Therapist | 3925 Lost Miner Ct, Las Vegas, NV 89129-7658 | 2019-11-07 |
| 1316597321 | James Michael Thomas | Marriage & Family Therapist | 3270 Liahona Way, Las Vegas, NV 89121-5714 | 2019-09-12 |
| 1053968123 | Dennis Leroy Henson | Marriage & Family Therapist | 7945 Blue Venice Ct, Las Vegas, NV 89117-2515 | 2019-08-22 |
| 1467008557 | Alma Rosa Spears | Marriage & Family Therapist | 2850 Lindell Rd, Las Vegas, NV 89146-6815 | 2019-08-14 |
| Find all providers in LAS VEGAS | ||||
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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.