Clarice M Podrebarac, MS,LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

807 Issued in KS

Practice address

1000 Lincoln St
Emporia, KS 66801-2449

Phone

(620) 343-2211

Fax

(620) 342-1021

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Clarice M Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Wyandot Center for Community Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Kansas City, KS
  • NPI 1629159389
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265581920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449",
            "telephone_number": "620-343-2211",
            "fax_number": "620-342-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODREBARAC",
        "first_name": "CLARICE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARICE",
            "last_name": "YOUNG",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "BS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pinewoods Dialysis LLC
• Lindley Suzanne Piper, LPC
• Aaron Matthew Pish, LMSW, LMAC
• Grace Leigh Pitt, LPC
• Liberti Ploutz
• Ella Mae Podrebarac
• Norman W. Powers, DDS
• Presbyterian Manors, Inc.
• Angela D Price, APRN
• Laura Price, LMSW

• Mental Health Counselor in Emporia, KS
• Providers in Emporia, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.