SUSAN MARIE CLARK (NPI# 1871780940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871780940 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE CLARK |
| Credential | LPCC-S |
| Practice Address |
112 S Water St Ste B Kent OH 44240-3689 |
| Practice Telephone | 3309688224 |
| Mailing Telephone | 3309688224 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
C1000469 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| 1093721359 | Susan Kay Clark | Dietitian, Registered | 2621 W Wackerly St, Suite D, Midland, MI 48640-6993 | 2006-07-31 |
| Street Address |
112 S WATER ST STE B |
| City | KENT |
| State | OH |
| Zip Code | 44240-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464621 | Wisemind Counseling LLC | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201887 | Julia Repasky | Speech-Language Pathologist | 4170 Oh-43, Kent, OH 44240 | 2020-09-24 |
| 1811515000 | Natasha Loveridge | Speech-Language Pathologist | 1949 Oh-59, Suite 202, Kent, OH 44240 | 2020-07-14 |
| 1215569256 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 247 Tallmadge Rd., Kent, OH 44240 | 2020-02-07 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
| 1801257456 | Ra'mone Williams | Audiologist | 717 Beryl Dr, Kent, OH 44240 | 2016-03-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| Find all providers in zip 44240 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282137 | Michael Patton Weatherford | Counselor | 155 E Erie St Ste 301, Kent, OH 44240-3513 | 2019-02-26 |
| 1740778323 | Annie Schlachter | Counselor | 2486 N Kent Rd, Kent, IL 61044-9617 | 2018-04-29 |
| 1134627920 | Rachel Helscher | Counselor | 1500 Eastway Drive Kent State University, Kent, OH 44242-0001 | 2018-01-26 |
| 1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
| 1548684145 | Cherarae Weisend | Counselor | 3769 Cascades Blvd Apt 312, Kent, OH 44240-8043 | 2014-02-18 |
| 1588939417 | Caron Maclane | Counselor | 21743 125th Pl Se, Kent, WA 98031-2380 | 2012-03-09 |
| 1598925042 | Jennifer S Fisher | Counselor | 155 N Water Street, Kent, OH 44240 | 2008-06-09 |
| 1306021175 | Delia Premi Santiago | Counselor | 2012 Pineview Dr, Kent, OH 44240-4231 | 2007-12-29 |
| 1578767976 | Joan D Rogers | Counselor | 812 S Water St, Kent, OH 44240-3569 | 2007-06-12 |
| 1720111081 | Karren J Garrity | Counselor | 56 Elizabeth St, Kent, CT 06757-1328 | 2007-03-14 |
| Find all providers in KENT | ||||
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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.