Active NPIIndividual providerSole proprietor

Jennifer Clark, LCPC, LPC

Counselor, Mental Health in Gardiner, Maine

NPI Number1417861865
Practice location
76 Lincoln Ave, Gardiner, ME 04345-2518
Fax
—
Last updated
October 1, 2026

Jennifer Clark is a Counselor, Mental Health based in Gardiner, ME. Jennifer Clark practices in Gardiner, ME and has the professional credentials of LCPC, LPC. The NPI Number for Jennifer Clark is 1417861865 and holds a License No. 37PC01223500 (NJ). The current practice location address for Jennifer Clark is 76 Lincoln Ave, Gardiner, ME 04345-2518 and can be reached out via phone at 207-441-5141.

Provider Profile Details

NPI Number
1417861865
Provider Name
Jennifer Clark
Credential
LCPC, LPC
Provider Entity Type
Individual
Gender
Female
Address
76 Lincoln Ave, Gardiner, ME 04345-2518
Phone Number
207-441-5141
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2026
Last Update Date
October 1, 2026
Certification Date
October 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Lincoln Ave
Gardiner, ME 04345-2518
State
Maine
Zip
04345-2518
Phone Number
207-441-5141
Gardiner, ME 04345Get directions →

Provider Business Mailing Address Details

Address
76 Lincoln Ave
Gardiner, ME 04345-2518
City
Gardiner
State
ME
Zip
04345-2518
Phone Number
207-441-5141

License Information

License Number (1)
37PC01223500
License State (1)
NJ
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
CC8672
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Clark, LCPC, LPC?

The NPI number of Jennifer Clark, LCPC, LPC is 1417861865. It was assigned on October 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Jennifer Clark, LCPC, LPC?

Jennifer Clark, LCPC, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC01223500.

Where does Jennifer Clark, LCPC, LPC practice?

The practice location is 76 Lincoln Ave, Gardiner, ME 04345-2518. The office can be reached at 207-441-5141 (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 1417861865 directly on the NPPES registry website.

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