Lonnie Clark, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13-12-10 Issued in OR

Practice address

695 Mistletoe Rd Ste H
Ashland, OR 97520-9552

Phone

(541) 482-8906

NPI assigned

Feb 10, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lithia Springs

  • Children's Substance Abuse Rehabilitation Facility
  • Ashland, OR
  • NPI 1477708113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1134543226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 3D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012744",
            "telephone_number": "541-779-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 MISTLETOE RD STE H",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209552",
            "telephone_number": "541-482-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LONNIE",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "13-12-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Christopherson, PH.D.
• Jennifer Elizabeth Christopherson
• William Noah Churchill, LMT
• Circle of Trust Healing Center, LLC
• City of Ashland (Ashland Fire & Rescue)
• Kathleen Clarke Pelton, MA, LMFT, LPC
• Judith L Clarke, RN
• Nadja Patrice Clarke, C.L.M.T.
• Lisa Renay Clayton, FNP
• Debra Cleland

• Addiction (Substance Use Disorder) Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.