ELIZABETH CLARK
NPI 1508061615
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA
NPI Status: Active since June 19, 2007
Contact Information
780 E GILBERT ST
SUITE 23 & 24
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 387-7458
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
About ELIZABETH CLARK
This page provides the complete NPI Profile along with additional information for Elizabeth Clark, a provider established in San Bernardino, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1508061615 assigned on June 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 01-047276 (CA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1508061615
- Provider Name
- ELIZABETH CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 780 E GILBERT ST SUITE 23 & 24 SAN BERNARDINO, CA 92415
- Location Phone
- (909) 387-7458
- Mailing Address
- 4369 SIERRA AVE NORCO, CA 92860
- Mailing Phone
- (909) 387-7458
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-19-2007
- Last Update Date
- 06-16-2014
- Code Navigator
A Substance Abuse or Addiction Counselor like Elizabeth Clark advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 01-047276
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3145 | OTHER (01) | CA | SIMON STAFF NUMBER |
Reviews for ELIZABETH CLARK
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 0 | 6 | 1 | 6 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 0 | 6 | 2 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 0 + 6 + 2 + 6 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1508061615 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518009141 | MS. TERRI FRANKLIN LCSW, MBA Individual | Social Worker (Clinical) | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7793 |
| 1871612945 | MS. CAROLYN L LATTA-CLARK MFT Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7380 |
| 1275669129 | MS. DEBORAH DONNELLY LCSW Individual | Social Worker (Clinical) | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7729 |
| 1770918658 | MRS. MONICA POULSEN Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 763-4760 |
| 1649699687 | CELENY CARRILLO Individual | Case Manager/Care Coordinator | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7247 |
| 1457598823 | LA KEISHA YVETTE MOSLEY Individual | Case Manager/Care Coordinator | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7255 |
| 1225164502 | MRS. ALLISON LEANNE CUNNINGHAM LCSW Individual | Social Worker (Clinical) | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (190) 938-7779 |
| 1679956106 | SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH Organization | Community/Behavioral Health | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7382 |
| 1073982856 | CANDICE MARTINEZ Individual | Case Manager/Care Coordinator | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7257 |
| 1932527462 | ASHLEY MONIQUE AGUILAR M.S. PSYCHOLOGY Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7293 |
| 1841746302 | THE STAY Organization | Psychiatric Residential Treatment Facility | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 763-4760 |
| 1770026429 | IRMA GRANADOS-WEBER MFTI Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 763-4760 |
| 1770027468 | ROSIE COOK-ASKINS Individual | Case Manager/Care Coordinator | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 386-0776 |
| 1528327350 | MRS. KRISTEN IZBICKI Individual | Psychologist (Clinical) | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7194 |
| 1063856201 | MRS. ANDREA NICOLE SMITH Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7194 |
| 1780048207 | DAVID CAMARENA Individual | Marriage & Family Therapist | 780 E GILBERT ST BUILDING H THE STAY SAN BERNARDINO, CA 92415 (909) 768-4760 |
| 1992187348 | VERONICA A FENDER LCSW Individual | Social Worker (Clinical) | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 387-7382 |
| 1851637151 | VALLEY STAR BEHAVIORAL HEALTH, INC. Organization | Community Based Residential Treatment Facility, Mental Illness | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 763-4760 |
| 1457817736 | NICHOLAS BUCHANAN Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 763-4760 |
| 1932601200 | SARA SANOBARI Individual | Marriage & Family Therapist | 780 E GILBERT ST SAN BERNARDINO, CA 92415 (909) 763-4760 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508061615, enumerated in the NPI registry as an "individual" on June 19, 2007
The provider is located at 780 E Gilbert St Suite 23 & 24 San Bernardino, Ca 92415 and the phone number is (909) 387-7458
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.