Jacalyn Clark, LPC
Counselor, Mental Health in Southport, Connecticut
1093673121- Practice location
- 255 Half Mile RD, Southport, CT 06890-1017
- Phone
- 385-290-5014
- Fax
- —
- Last updated
- January 15, 2026
Jacalyn Clark is a Counselor, Mental Health based in Southport, CT. Jacalyn Clark practices in Southport, CT and has the professional credentials of LPC. The NPI Number for Jacalyn Clark is 1093673121 and holds a License No. 9373 (CT). The current practice location address for Jacalyn Clark is 255 Half Mile RD, Southport, CT 06890-1017 and can be reached out via phone at 385-290-5014.
Provider Profile Details
- NPI Number
- 1093673121
- Provider Name
- Jacalyn Clark
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 255 Half Mile RD, Southport, CT 06890-1017
- Phone Number
- 385-290-5014
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 15, 2026
- Last Update Date
- January 15, 2026
- Certification Date
- January 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 255 Half Mile RD
Southport, CT 06890-1017 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1017
- Phone Number
- 385-290-5014
Provider Business Mailing Address Details
- Address
- 255 Half Mile RD
Southport, CT 06890-1017 - City
- Southport
- State
- CT
- Zip
- 06890-1017
- Phone Number
- 385-290-5014
License Information
- License Number
- 9373
- License State
- CT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Southport, CT
View all Counselor, Mental Health providers in Southport →- Jillian L Ference, LPC, NCCCounselor, Mental Health · NPI 1326692989
- Lorraine Garland, LPCACounselor, Mental Health · NPI 1376184713
- Mr. Robert H Rogers IIICounselor, Mental Health · NPI 1215858683
- Mrs. Margaret R YatesPhysical Therapist · NPI 1538348404
- Delaina Merkert, DNP, APRN, FNP-BCNurse Practitioner, Family · NPI 1942934245
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Frequently Asked Questions
What is the NPI number of Jacalyn Clark, LPC?
The NPI number of Jacalyn Clark, LPC is 1093673121. It was assigned on January 15, 2026 and is currently active in the NPPES registry.
What is the specialty of Jacalyn Clark, LPC?
Jacalyn Clark, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 9373.
Where does Jacalyn Clark, LPC practice?
The practice location is 255 Half Mile RD, Southport, CT 06890-1017. The office can be reached at 385-290-5014 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093673121 directly on the NPPES registry website.