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JAMES A CLARK CADCIII
NPI 1356365316
Counselor - Addiction (Substance Use Disorder) in Fort Atkinson, WI

Active since July 26, 2006
509 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-7995(920) 568-6047 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About James A Clark Cadciii NPPES

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

JAMES A CLARK CADCIII (NPI 1356365316) is an individual addiction (substance use disorder) provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (484) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1356365316
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAMES A CLARKCredential: CADCIII
Location Address509 MCMILLEN STFort Atkinson, WI 53538-1263
Mailing Address509 Mcmillen StFort Atkinson, WI 53538-1263 · (920) 563-7995 · Fax (920) 568-6047
Phone(920) 563-7995
Fax(920) 568-6047
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356365316 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
License✔ Licensed in WI · 484
509 MCMILLEN ST, Fort Atkinson, WI 53538
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Other Identifiers 1

Medicaid39344700WI

Other Providers at the Same Location NPPES 5

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

STEPHANIE P BELZER APSW
Social Worker (Clinical)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-9542
RANDALL L DAUT PHD
Psychologist (Health Service)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995
NICHOLAS J BISENIUS PHD
Psychologist
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995
CHRISTINE E BECKMAN LCSW
Social Worker (Clinical)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995
SAMUEL C SMITH PHD
Psychologist
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995

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 James Clark's NPI number?

The NPI number for James Clark is 1356365316. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is James Clark located?

James Clark practices at 509 Mcmillen St, Fort Atkinson, WI 53538. The listed phone number is (920) 563-7995.

What is James 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 James Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.