Active NPIIndividual provider

Jessica L Clark, LMHC, CCSOTS, TF-CBT

Counselor, Mental Health in Wellesley Hills, Massachusetts

NPI Number1659628493
Practice location
396 Washington St # 266, Wellesley Hills, MA 02481-6209
Fax
—
Last updated
June 12, 2024

Jessica L.c. Clark is a Counselor, Mental Health based in Wellesley Hills, MA. Jessica L.c. Clark practices in Wellesley Hills, MA and has the professional credentials of LMHC, CCSOTS, TF-CBT. The NPI Number for Jessica L.c. Clark is 1659628493 and holds a License No. IMH 11318 (FL). The current practice location address for Jessica L.c. Clark is 396 Washington St # 266, Wellesley Hills, MA 02481-6209 and can be reached out via phone at 855-438-8331.

Provider Profile Details

NPI Number
1659628493
Provider Name
Jessica L.c. Clark
Credential
LMHC, CCSOTS, TF-CBT
Provider Entity Type
Individual
Gender
Female
Address
396 Washington St # 266, Wellesley Hills, MA 02481-6209
Phone Number
855-438-8331
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2012
Last Update Date
June 12, 2024
Certification Date
June 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
396 Washington St # 266
Wellesley Hills, MA 02481-6209
Zip
02481-6209
Phone Number
855-438-8331
Wellesley Hills, MA 02481Get directions →

Provider Business Mailing Address Details

Address
396 Washington St # 266
Wellesley Hills, MA 02481-6209
City
Wellesley Hills
State
MA
Zip
02481-6209
Phone Number
855-438-8331

License Information

License Number (1)
IMH 11318
License State (1)
FL
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
15397
License State (3)
FL
Taxonomy (3)
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 Jessica L Clark, LMHC, CCSOTS, TF-CBT?

The NPI number of Jessica L Clark, LMHC, CCSOTS, TF-CBT is 1659628493. It was assigned on August 11, 2012 and is currently active in the NPPES registry.

What is the specialty of Jessica L Clark, LMHC, CCSOTS, TF-CBT?

Jessica L Clark, LMHC, CCSOTS, TF-CBT is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in FL under license number IMH 11318.

Where does Jessica L Clark, LMHC, CCSOTS, TF-CBT practice?

The practice location is 396 Washington St # 266, Wellesley Hills, MA 02481-6209. The office can be reached at 855-438-8331 (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 1659628493 directly on the NPPES registry website.

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