MR. BARRY KENT CLARK JR. (NPI# 1962413070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962413070 |
| Entity Type | Individual |
| Full Name | MR. BARRY KENT CLARK JR. |
| Credential | LADC |
| Practice Address |
100 W 7th St Okmulgee OK 74447-5007 |
| Mailing Address |
23625 Lamb Ter Broken Arrow OK 74014-3062 |
| Practice Telephone | 9187581910 |
| Practice Fax Number | 9187561270 |
| Mailing Telephone | 9183573516 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
584 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE KOWETA GROUP | 300522348 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330288 | Barry Paul Clark | Family Medicine | 1512 13th St Nw, Washington, DC 20005-3763 | 2006-05-10 |
| 1891795985 | Barry Lee Clark | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2005-07-29 |
| 1295241586 | Barry Scott Clark | Case Manager/Care Coordinator | 307 Main St, Rocky, OK 73661-9000 | 2017-12-21 |
| 1972840999 | Barry James Clark | Counselor | 55 W 125th St Fl 10, New York, NY 10027-4516 | 2013-01-10 |
| 1336249341 | Barry A Clark | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2006-09-22 |
| Street Address |
100 W 7TH ST |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114947082 | Daley Tearl | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-07-20 |
| 1174024426 | Access Solutions Medical Group II | Family Medicine | 100 W 7th St, Okmulgee, OK 74447-5050 | 2018-02-22 |
| 1215307673 | Hollie Ledford | Social Worker | 100 W 7th St, Okmulgee, OK 74447-5050 | 2015-09-29 |
| 1679950364 | Stacy Morris | Social Worker | 100 W 7th St, Okmulgee, OK 74447-5050 | 2015-05-01 |
| 1205176641 | Adrianne Elise Brown | Social Worker | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2013-02-21 |
| 1174874275 | Emma Lee De La Cruz | Counselor | 100 W 7th St, Okmulgee, OK 74447-5007 | 2012-09-28 |
| 1265763239 | Jonell James | Social Worker | 100 W 7th St, Okmulgee, OK 74447-5007 | 2010-01-14 |
| 1003052465 | Leslie Lynn Crow | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2009-01-06 |
| 1033204763 | Dean Parker Montgomery Jr. | Psychologist | 100 W 7th St, Okmulgee, OK 74447-5007 | 2006-10-04 |
| 1588672208 | Creek Nation Health Systems | Clinic/Center | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417379173 | Anthony Allen | Counselor | 701 N Prairie Ave, Okmulgee, OK 74447-7616 | 2014-01-15 |
| 1316144272 | Creoks Behavioral Health | Counselor | 400 W 6th St, Okmulgee, OK 74447-5000 | 2007-07-02 |
| 1194739334 | Michael Keith Burnside | Counselor | 100 W 7th St Ste 102, Okmulgee, OK 74447-5007 | 2006-07-27 |
| 1114947082 | Daley Tearl | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-07-20 |
| 1881987899 | Holly Trunk | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2011-05-24 |
| 1396977724 | Theresa M Hall | Counselor | 114 N Grand Ave, Okmulgee, OK 74447-4013 | 2009-08-18 |
| 1023244944 | Thomasine L. Fife | Counselor | 100 W 7th St Ste 102, Okmulgee, OK 74447-5007 | 2009-06-05 |
| 1003052465 | Leslie Lynn Crow | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2009-01-06 |
| 1659560043 | Pamela Gail Sparks | Counselor | 106 W 5th St, Okmulgee, OK 74447-7301 | 2007-10-22 |
| 1023214038 | Gay Lynn Peterson | Counselor | 323 W 6th St, Okmulgee, OK 74447-5019 | 2007-06-26 |
| Find all providers in OKMULGEE | ||||
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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.