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JERONIA CLARK
NPI 1124690334
Counselor - Mental Health in Columbus, MS

Active since July 15, 2021
1001 MAIN ST, COLUMBUS, MS 39701(662) 328-9225(662) 328-4735 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Jul 15, 2021 (2 updates tracked since 2021).

About Jeronia Clark NPPES

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

JERONIA CLARK (NPI 1124690334) is an individual mental health provider in Columbus, Mississippi and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1124690334
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJERONIA CLARK
Location Address1001 MAIN STColumbus, MS 39701-4751
Mailing Address302 N Jackson StStarkville, MS 39759-2504 · (166) 252-4434
Phone(662) 328-9225
Fax(662) 328-4735
Sole ProprietorNo
Enumeration DateJuly 15, 2021
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1124690334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1001 MAIN ST, Columbus, MS 39701
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Other Identifiers 1

Medicaid1124690334MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN MCMAHON LCSW
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225
BRANDI STRADER MS
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225
TIMOTHY L HOPKINS MA
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225
ANITA KING M.S.
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225
ALLIE PITTS
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 524-2021
JENNIFER CARPENTER MS
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225
TYERRIA BRYANT
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225
MARY ELIZABETH BLAKE
Counselor (Mental Health)
1001 MAIN ST
COLUMBUS, MS 39701
Lowndes County (662) 328-9225

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 Jeronia Clark's NPI number?

The NPI number for Jeronia Clark is 1124690334. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Jeronia Clark located?

Jeronia Clark practices at 1001 Main St, Columbus, MS 39701. The listed phone number is (662) 328-9225.

What is Jeronia 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 Jeronia Clark was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.