1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Counselor
  6. NPI Profile

JENNIFER LISA CLARK CDCA
NPI 1245909555
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since September 09, 2021
1 ELIZABETH PL, DAYTON, OH 45417(937) 813-1737 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Sep 9, 2021 (2 updates tracked since 2021).

About Jennifer Lisa Clark Cdca NPPES

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

JENNIFER LISA CLARK CDCA (NPI 1245909555) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA.182811) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1245909555
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER LISA CLARKCredential: CDCA
Location Address1 ELIZABETH PLDayton, OH 45417-3445
Mailing Address1 Elizabeth PlDayton, OH 45417-3445 · (937) 813-1737
Phone(937) 813-1737
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1245909555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OH · CDCA.182811✔ Licensed in OH · 177530
1 ELIZABETH PL, Dayton, OH 45417
Open in Google Maps ↗

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.

SCOTT A MURRAY MD
Physical Medicine & Rehabilitation
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 309-9670
ALEXANDRIA CORTNEY BROWN CDCA II
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
ADAM PARKER
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
RUSSELL GOLDSBY
Case Manager/Care Coordinator
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (318) 131-7379
DONNELLA CHANDELLE WHITE
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
KARLISSA JENNINGS
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
SHAUN GUNTER
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737
KRISTI MARTIN
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Montgomery County (937) 813-1737

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1245909555. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Jennifer Clark located?

Jennifer Clark practices at 1 Elizabeth Pl, Dayton, OH 45417. The listed phone number is (937) 813-1737.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on January 26, 2023. 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.