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JACALYN CLARK LPC
NPI 1093673121
Counselor - Mental Health in Southport, CT

Active since January 15, 2026
255 HALF MILE RD, SOUTHPORT, CT 06890(385) 290-5014 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacalyn Clark Lpc NPPES

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

JACALYN CLARK LPC (NPI 1093673121) is an individual mental health provider in Southport, Connecticut, licensed in Connecticut (9373) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1093673121
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACALYN CLARKCredential: LPC
Location Address255 HALF MILE RDSouthport, CT 06890-1017
Mailing Address255 Half Mile RdSouthport, CT 06890-1017 · (385) 290-5014
Phone(385) 290-5014
Sole ProprietorYes
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1093673121 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 CT · 9373
255 HALF MILE RD, Southport, CT 06890
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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 Jacalyn Clark's NPI number?

The NPI number for Jacalyn Clark is 1093673121. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Jacalyn Clark located?

Jacalyn Clark practices at 255 Half Mile Rd, Southport, CT 06890. The listed phone number is (385) 290-5014.

What is Jacalyn 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 Jacalyn Clark was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.