ELIZABETH CLARK (NPI# 1902992910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902992910 |
| Entity Type | Individual |
| Full Name | ELIZABETH CLARK |
| Credential | MA, LPC |
| Practice Address |
640 Grand Ave Grand Junction CO 81501-2738 |
| Practice Telephone | 9702451780 |
| Practice Fax Number | 9702413591 |
| Mailing Telephone | 9702451780 |
| Mailing Fax Number | 9702413591 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1578 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| Street Address |
640 GRAND AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872211 | Embark Counseling & Coaching LLC | Counselor | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2020-08-23 |
| 1982249686 | Animal Assisted Therapy of The Western Slope | Community/Behavioral Health | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2019-11-17 |
| 1558838714 | Elizabeth Clark PC | Counselor | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2018-10-25 |
| 1851767305 | Matthew Ryan Angleman | Counselor | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2015-08-19 |
| 1619398906 | Speak Two Me LLC | Exclusive Provider Organization | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2014-01-03 |
| 1295168953 | Stacy Lynne Schoolfield | Social Worker | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2013-08-16 |
| 1912127366 | Shanon Mary Mcintyre | Speech-Language Pathologist | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2007-04-26 |
| 1215050737 | Ellen Sue Polan | Counselor | 640 Grand Ave, Grand Junction, CO 81501-2738 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074348 | Melinda Leeann Baker | Counselor | 710 Ivy Pl, Grand Junction, CO 81506-8341 | 2019-10-10 |
| 1104471515 | Jacob Tyler Baker | Counselor | 408 Stoneridge Ct, Grand Junction, CO 81507-1655 | 2019-08-03 |
| 1093369084 | Identity Insights LLC | Counselor | 2470 Patterson Rd Ste 6, Grand Junction, CO 81505-1028 | 2019-07-28 |
| 1992365803 | Kathleen Zachary | Counselor | 707 Roundup Dr, Grand Junction, CO 81507-8798 | 2019-06-13 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1831605674 | Connie Mercer | Counselor | 2252 Pine Terrace Ct, Grand Junction, CO 81507-1258 | 2017-12-15 |
| 1245742121 | Elisabeth Lesperance Kautsky | Counselor | 2095 Two Wood Dr, Grand Junction, CO 81507-7704 | 2017-10-31 |
| 1467990655 | Raymond Cardenas | Counselor | 201 Vista Hills Dr, Grand Junction, CO 81503-3292 | 2017-02-07 |
| 1598208324 | Chelsea Ann Yamaguchi | Counselor | 2384 Ridge Circle Dr, Unit 10, Grand Junction, CO 81507-4609 | 2016-11-28 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on ELIZABETH 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.