NOEL CLARK
NPI 1013642719
Counselor - Mental Health in Jacksonville, FL

Q: What is Noel Clark's NPI number?

The NPI number for Noel Clark is 1013642719. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Noel Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Noel Clark was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 18, 2022

9684 STANFORD BRIDGE DR, JACKSONVILLE, FL 32221(904) 305-2996 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Noel Clark NPPES

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

NOEL CLARK (NPI 1013642719) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH20953) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1013642719

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameNOEL CLARK

Location Address9684 STANFORD BRIDGE DRJacksonville, FL 32221-3207

Mailing Address9684 Stanford Bridge DrJacksonville, FL 32221-3207 · (904) 305-2996

Phone(904) 305-2996

Sole ProprietorYes

Enumeration DateJuly 18, 2022

NPPES CertifiedJuly 18, 2022

✔ NPI 1013642719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH20953

9684 STANFORD BRIDGE DR, Jacksonville, FL 32221

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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 Noel Clark's NPI number?

The NPI number for Noel Clark is 1013642719. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Noel Clark located?

Noel Clark practices at 9684 Stanford Bridge Dr, Jacksonville, FL 32221. The listed phone number is (904) 305-2996.

What is Noel Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Noel Clark was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.