Tiffany Clark
Counselor (Mental Health)

Address: 1215 Sw G St, Grants Pass, OR 97526-2544
Phone: 5414762373

Tiffany Clark (NPI# 1811482359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1811482359
Entity Type Individual
Full Name Tiffany Clark
Gender Female
Practice Address 1215 Sw G St
Grants Pass
OR 97526-2544
Practice Telephone 5414762373
Mailing Address 1215 Sw G St
Grants Pass
OR 97526-2544
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-06-27
Last Update Date 2018-06-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
OR 616430 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1689226805 Tiffany Renee Clark Clinic/Center 6632 Oaks Edge Dr, Zachary, LA 70791-3259 2019-07-09
1033621214 Tiffany Clark Occupational Therapy Assistant 64 Bradford Cir, Sugar Land, TX 77479-2976 2017-10-28
1760831838 Tiffany Lynea Clark Occupational Therapist 7463 S Quail Cir Apt 313, Littleton, CO 80127-4922 2016-06-08
1134590953 Tiffany Clark Case Manager/Care Coordinator 4253 Crossover Rd., Fayetteville, AR 72703 2015-10-20
1639596398 Tiffany Clark Home Health Aide 11830 Jenner Ln, Saint Louis, MO 63138-1212 2014-03-19
1558655498 Tiffany Dawn Clark Massage Therapist 3951 Arrowhead Dr, Unit C, Medford, OR 97504-7257 2011-06-08
1689831539 Tiffany Clark Licensed Practical Nurse 20331 Tracy Ave, Euclid, OH 44123-3040 2008-05-19
1750588307 Tiffany Devon Clark Physical Therapy Assistant 432 Hermitage Dr., Danville, VA 24541 2007-06-28
1881298859 Tiffany Michelle Clark Social Worker 22664 State Route 73, West Portsmouth, OH 45663-6365 2020-11-30
1245844380 Tiffany Clark Pharmacist 1700 E 38th St, Marion, IN 46953-4568 2020-09-05
Find all providers with the same name

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932708559 Laurie Sue Urbach Counselor 501 Sw Western Ave, Grants Pass, OR 97526-5811 2020-10-23
1750988713 Priscilla Ann Stack Counselor 214 Nw 3rd St, Grants Pass, OR 97526-1913 2020-10-02
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1063996072 Daniel Dirk Counselor 777 Ne 7th St Ste 107, Grants Pass, OR 97526-1632 2018-09-17
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
1336557388 Sonia Leamons Counselor 1331 Se Herrick Ln, Grants Pass, OR 97526-4015 2014-07-22
1962816348 Kimberly Hathaway Counselor 320 Ramsey Place, Grants Pass, OR 97527 2014-06-13
1972920668 Tressi Innana Albee Counselor 121 Ne A Street, Suite D, Grants Pass, OR 97526 2014-03-20
1013343359 Shaunte Angelique Duron Counselor 711 Sw Ramsey Avenue, Grants Pass, OR 97527 2013-09-18
Find all providers in GRANTS PASS

Office Location

Street Address 1215 SW G ST
City GRANTS PASS
State OR
Zip Code 97526-2544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558366492 Options for Southern Oregon Case Management 1215 Sw G St, Grants Pass, OR 97526-2544 2005-06-16
1518507144 Molly Kingsley Holzshu Interpreter 1215 Sw G St, Grants Pass, OR 97526-2544 2020-01-11
1003454075 Jorge Romero Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2019-12-20
1669010229 Maricela Olivares Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2019-12-13
1881237022 Jestin Murphy Peer Specialist 1215 Sw G St, Grants Pass, OR 97526-2544 2019-10-21
1962043679 Kellie Donnelly Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2019-10-03
1669027611 Leslie Jayne Rose Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2019-08-07
1649836297 Sherrell Lynn Burton Registered Nurse 1215 Sw G St, Grants Pass, OR 97526-2544 2019-05-18
1659832525 Ila Sachs Interpreter 1215 Sw G St, Grants Pass, OR 97526-2544 2019-03-25
1669938890 Brittanie Unterseher Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2019-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476777 Kyla M Mccormick Peer Specialist 109 Nw Manzanita Avenue, Grants Pass, OR 97526 2020-01-13
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1841842598 Michael Liam Reynolds, Dds, LLC Dentist 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 2019-07-12
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1700364502 Premier Community Supports, LLC. Day Training, Developmentally Disabled Services 1439 Ne 6th St Ste C, Grants Pass, OR 97526 2018-08-02
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1114467438 Sandra P Martin Chiropractor 333 Sw 5th St. Suite B, Grants Pass, OR 97526 2017-03-06
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1902353907 Optimal Health of Southern Oregon, LLC Family Medicine 1600 Nw 6th St South Suite, Grants Pass, OR 97526 2016-09-07
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
Find all providers in zip 97526

Competitor

Search similar providers

City GRANTS PASS
Zip Code 97526

Improve Information

Please comment or provide details below to improve the information on Tiffany Clark.

Dataset Information

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.