1. Home
  2. Directory
  3. Washington
  4. Richland
  5. Counselor
  6. NPI Profile

JENNIFER ANNE CLARK LCPC
NPI 1245953199
Counselor - Professional in Richland, WA

Active since September 26, 2022PECOS Enrolled
183 WILDWOOD CT, RICHLAND, WA 99352(509) 779-8604 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Sep 26, 2022 (2 updates tracked since 2022).

About Jennifer Anne Clark Lcpc NPPES

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

JENNIFER ANNE CLARK LCPC (NPI 1245953199) is an individual professional provider in Richland, Washington, licensed in Illinois (180.016757) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245953199
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER ANNE CLARKCredential: LCPC
Location Address183 WILDWOOD CTRichland, WA 99352-9499
Mailing Address183 Wildwood CtRichland, WA 99352-9499 · (509) 779-8604
Phone(509) 779-8604
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1245953199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.016757
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHC.LH.61691556 (WA)
183 WILDWOOD CT, Richland, WA 99352
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Anne Clark Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

PRESENT MIND COUNSELING PLLC
Counselor (Professional)
183 WILDWOOD CT
RICHLAND, WA 99352
Benton County (509) 438-6625

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 1245953199. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Jennifer Clark located?

Jennifer Clark practices at 183 Wildwood Ct, Richland, WA 99352. The listed phone number is (509) 779-8604.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Clark enrolled in Medicare?

Yes. Jennifer Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.