Maria Clark, LIMPH
Individual provider Active NPI Professional Counselor · Bellevue, NE
NPI 1760915656 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1760915656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1579 (NE)
- Practice address
- 1620 Wilshire Dr Ste 222
Bellevue, NE 68005 - Phone
- (402) 536-9568
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1579 | NE | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Clark LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1579 | NE | |
| Professional Counselor | 101YP2500X | 1579 | NE | Yes |
Addresses
Primary practice location
1620 Wilshire Dr Ste 222
Bellevue, NE 68005
Mailing address
2613 Blackhawk Dr
Bellevue, NE 68123-3707
Other providers in Bellevue, NE
- Ashley Clark
- Ashley Nicole Clark
- Janice Marie Clark
- Jennifer Clark
- Latisha Clark
- Scherone Clark
- Chelsea L Clawson
- Kyle W Clemens
- Christine E Clerc
- Barbara K. Clinkenbeard
All providers in Bellevue, NE · Professional Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.