JEANNETTE B. CLARK MSED., LPCC
NPI 1326407206
Counselor - Mental Health in Granville, OH

Q: What is Jeannette Clark's NPI number?

The NPI number for Jeannette Clark is 1326407206. It was assigned to this individual provider in the NPPES registry on February 19, 2016.

Q: What is Jeannette Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jeannette Clark was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 19, 2016

941 RIVER RD, GRANVILLE, OH 43023(740) 587-1543(740) 587-1573 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 18, 2021, Mar 18, 2020, May 15, 2019 and 1 more (4 updates tracked since 2016).

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About Jeannette B. Clark Msed., Lpcc NPPES

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

JEANNETTE B. CLARK MSED., LPCC (NPI 1326407206) is an individual mental health provider in Granville, Ohio, licensed in Ohio (E.2001704) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1326407206

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJEANNETTE B. CLARKCredential: MSED., LPCC

Location Address941 RIVER RDGranville, OH 43023-9534

Mailing AddressPo Box 279Utica, OH 43080-0279 · (740) 759-1490

Phone(740) 587-1543

Fax(740) 587-1573

Sole ProprietorNo

Enumeration DateFebruary 19, 2016

Last NPPES UpdateJune 18, 20214 updates tracked since enumeration

NPPES CertifiedJune 18, 2021

✔ NPI 1326407206 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 OH · E.2001704

941 RIVER RD, Granville, OH 43023

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Other Identifiers 1

Medicaid1473276OH

Other Providers at the Same Location NPPES

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

NICOLE BROWN

Social Worker

941 RIVER RD
GRANVILLE, OH 43023

Licking County (740) 587-1543

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 Jeannette Clark's NPI number?

The NPI number for Jeannette Clark is 1326407206. It was assigned to this individual provider in the NPPES registry on February 19, 2016.

Where is Jeannette Clark located?

Jeannette Clark practices at 941 River Rd, Granville, OH 43023. The listed phone number is (740) 587-1543.

What is Jeannette 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 Jeannette Clark was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.