AGAPE CLINIC WITH HEART: A PROFESSIONAL NURSING ORGANIZATION
NPI 1821888249
Clinic/Center - Adult Mental Health in Santa Rosa, CA

Q: What is Agape Clinic With Heart: A Professional Nursing Organization's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 08, 2025

3114 CARVEL DR, SANTA ROSA, CA 95405(707) 757-3117 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Agape Clinic With Heart: A Professional Nursing Organization NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE CLINIC WITH HEART: A PROFESSIONAL NURSING ORGANIZATION (NPI 1821888249) is a healthcare organization registered as an adult mental health in Santa Rosa, California and active in the NPI registry since May 2025. The organization lists Jennifer Marie Clark, Nurse Practitioner, President, as its authorized official.

NPPES Registry Identity

NPI1821888249

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameAGAPE CLINIC WITH HEART: A PROFESSIONAL NURSING ORGANIZATION

Location Address3114 CARVEL DRSanta Rosa, CA 95405-7062

Mailing Address3114 Carvel DrSanta Rosa, CA 95405-7062 · (707) 757-3117

Phone(707) 757-3117

Organization SubpartNo

Authorized OfficialJennifer Marie ClarkNurse Practitioner, President · (707) 757-3117

Enumeration DateMay 8, 2025

NPPES CertifiedMay 8, 2025

✔ NPI 1821888249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

3114 CARVEL DR, Santa Rosa, CA 95405

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Clinic With Heart: A Professional Nursing Organization's NPI number?

The NPI number for Agape Clinic With Heart: A Professional Nursing Organization is 1821888249. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Agape Clinic With Heart: A Professional Nursing Organization located?

Agape Clinic With Heart: A Professional Nursing Organization is located at 3114 Carvel Dr, Santa Rosa, CA 95405. The listed phone number is (707) 757-3117.

What is Agape Clinic With Heart: A Professional Nursing Organization's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Agape Clinic With Heart: A Professional Nursing Organization was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.