JASON CLARK
NPI 1033727425
Counselor - Mental Health in Chicago, IL
About Jason Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON CLARK (NPI 1033727425) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
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 Jason Clark's NPI number?
The NPI number for Jason Clark is 1033727425. It was assigned to this individual provider in the NPPES registry on July 21, 2020.
Where is Jason Clark located?
Jason Clark practices at 2451 N Lincoln Ave Side 2, Chicago, IL 60614. The listed phone number is (773) 469-6675.
What is Jason 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 Jason Clark was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jason Clark · NPI 1033727425
Mental Health provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 21, 2020.
## Identity
- **NPI:** 1033727425 (Entity type: Individual)
- **Enumerated:** July 21, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2451 N LINCOLN AVE SIDE 2, Chicago, IL 60614-4170
- **Phone:** (773) 469-6675
## Record status
- **NPPES last updated:** July 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1033727425) · Data from the CMS NPPES public registry.