AMANDA BLEU CLARK (NPI# 1891967204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891967204 |
| Entity Type | Individual |
| Full Name | AMANDA BLEU CLARK |
| Credential | LPC |
| Practice Address |
150 Nickerson St Ste 303 Seattle WA 98109 |
| Mailing Address |
150 Nickerson St Ste 303 Seattle WA 98109-1634 |
| Practice Telephone | 8066812900 |
| Mailing Telephone | 8066812900 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
60713306 | WA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
62327 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 S Washington St, Suite 105, Amarillo, TX 791022610 | 8066812900 | 8063764202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851680 | Amanda Lou Clark | Technician | 4631 Diana Dr, Diana, WV 26217-8777 | 2020-08-11 |
| 1225666035 | Amanda Louise Clark | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-03-28 |
| 1881220226 | Amanda S Clark | Nurse Practitioner | 1115 State St # 4342, Cayce, SC 29033-4342 | 2020-03-17 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1467956003 | Amanda K Clark | Respiratory Therapist, Certified | 1225 Laurel St Ste 219, Columbia, SC 29201-5826 | 2018-03-20 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1578938163 | Amanda Leigh Clark | Occupational Therapy Assistant | 218 Mill Hill Acres Dr, Peterstown, WV 24963-9797 | 2015-12-08 |
| 1043554256 | Amanda J Clark | Physical Therapist | 1312 W Arch Haven Ave Bldg 1320, Suite E, Bloomington, IN 47403-2089 | 2012-11-15 |
| 1770810954 | Amanda J Clark | Specialist/Technologist | 8700 Sheridan Road, Nw, Thornville, OH 43076 | 2009-11-10 |
| 1689682205 | Amanda Lou Clark | Obstetrics & Gynecology | 5050 Ne Hoyt St Ste 255, Portland, OR 97213-2982 | 2006-08-03 |
| Street Address |
150 NICKERSON ST STE 303 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073056271 | Zoe Fisher-falk | Counselor | 150 Nickerson St Ste 303, Seattle, WA 98109-1634 | 2016-11-21 |
| 1952691651 | Laura C Donnell | Nurse Practitioner | 150 Nickerson St Ste 303, Seattle, WA 98109 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| Find all providers in SEATTLE | ||||
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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.