JACKIE CLARK
NPI 1467874107
Counselor - Mental Health in Las Vegas, NV

Q: What is Jackie Clark's NPI number?

The NPI number for Jackie Clark is 1467874107. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Q: What is Jackie 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 Jackie Clark was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 15, 2014

6130 ELTON AVE, LAS VEGAS, NV 89107(919) 710-4252 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackie Clark NPPES

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

JACKIE CLARK (NPI 1467874107) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (251S00000X) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1467874107

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACKIE CLARK

Location Address6130 ELTON AVELas Vegas, NV 89107-2538

Mailing Address6130 Elton AveLas Vegas, NV 89107-2538 · (919) 710-4252

Phone(919) 710-4252

Sole ProprietorNo

Enumeration DateJanuary 15, 2014

✔ NPI 1467874107 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 NV · 251S00000X

6130 ELTON AVE, Las Vegas, NV 89107

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Other Providers at the Same Location NPPES 9

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

DUPREE HOME CARE SERVICES LLC

Home Health

6130 ELTON AVE
LAS VEGAS, NV 89107

Clark County (702) 760-5866

CHRISTIAN LUCERO

Behavior Analyst

6130 ELTON AVE
LAS VEGAS, NV 89107

Clark County (702) 475-7442

ALL HANDS DOULA SERVICES LTD

Doula

6130 ELTON AVE
LAS VEGAS, NV 89107

Clark County (725) 270-4126

ANESTHESIA AND INTENSIVE CARE SPECIALISTS LLP

Anesthesiology

6130 ELTON AVE, SUITE 113
LAS VEGAS, NV 89107

Clark County (702) 476-0297

ALEXIS LOMAX DOULA

Doula

6130 ELTON AVE
LAS VEGAS, NV 89107

Clark County (725) 270-4126

OUTWARD BOUND

Community/Behavioral Health

6130 ELTON AVE
LAS VEGAS, NV 89107

Clark County (336) 697-9310

MINDS MATTER LV, LLC

Community/Behavioral Health

6130 ELTON AVE
LAS VEGAS, NV 89107

Clark County (702) 475-7442

LIVING WATERS TRAUMA INSTITUTE, LLC

Social Worker (Clinical)

6130 ELTON AVE, SUITE 201
LAS VEGAS, NV 89107

Clark County (702) 577-4118

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 Jackie Clark's NPI number?

The NPI number for Jackie Clark is 1467874107. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Where is Jackie Clark located?

Jackie Clark practices at 6130 Elton Ave, Las Vegas, NV 89107. The listed phone number is (919) 710-4252.

What is Jackie 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 Jackie Clark was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.