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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JADA NYIESHA CLARK
NPI 1396578134
Counselor - Professional in Richmond, VA

Active since August 26, 2024PECOS Enrolled
6800 PARAGON PL STE 200, RICHMOND, VA 23230(804) 441-6000 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Jada Nyiesha Clark NPPES

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

JADA NYIESHA CLARK (NPI 1396578134) is an individual professional provider in Richmond, Virginia, licensed in Virginia (0701013914) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396578134
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJADA NYIESHA CLARK
Location Address6800 PARAGON PL STE 200Richmond, VA 23230-1652
Mailing Address507 Cheverly DrSouth Boston, VA 24592-4807 · (434) 572-7528
Phone(804) 441-6000
Sole ProprietorNo
Enumeration DateAugust 26, 2024
Last NPPES UpdateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1396578134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701013914
6800 PARAGON PL STE 200, Richmond, VA 23230
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jada Nyiesha Clark 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 20

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

LATURRA BENSON BCBA
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
VIRGINIA CARLA LYNNE EDWARDS MA
Counselor (Mental Health)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
CHERIAL DENYTHIA STEPTOE MSED, CA
Counselor (Mental Health)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
KAROLINA KUTYLO MITRAJ MS, BCBA
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
MADISON HARRIS
Behavior Technician
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
SHELBY GRAMMENOS
Social Worker (Clinical)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
MEREDITH ANN KRIEGER MA
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
FAMILY INSIGHT INC
Counselor (Professional)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (540) 486-5910

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 Jada Clark's NPI number?

The NPI number for Jada Clark is 1396578134. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Jada Clark located?

Jada Clark practices at 6800 Paragon Pl Ste 200, Richmond, VA 23230. The listed phone number is (804) 441-6000.

What is Jada Clark's specialty?

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

Is Jada Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jada Clark was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.