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JILL CLARK BA MS LPC
NPI 1568684777
Counselor in West Carrollton, OH

Active since May 03, 2007
1170 E CENTRAL AVE, WEST CARROLLTON, OH 45449(937) 865-9061(937) 865-9069 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jill Clark Ba Ms Lpc NPPES

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

JILL CLARK BA MS LPC (NPI 1568684777) is an individual counselor in West Carrollton, Ohio, licensed in Ohio (C-5998) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1568684777
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJILL CLARKCredential: BA MS LPC
Location Address1170 E CENTRAL AVEWest Carrollton, OH 45449-1825
Mailing Address1210 Berna LnKettering, OH 45429-5554 · (937) 435-6623
Phone(937) 865-9061
Fax(937) 865-9069
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568684777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C-5998
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1170 E CENTRAL AVE, West Carrollton, OH 45449
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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.

HOLLY ELIZABETH WELTHER LSW
Counselor (Mental Health)
1170 E CENTRAL AVE
WEST CARROLLTON, OH 45449
Montgomery County (937) 865-9061
LISA A RUCKER BA LSW
Social Worker
1170 E CENTRAL AVE
WEST CARROLLTON, OH 45449
Montgomery County (937) 865-9061
SAHERA WASHBURN MS LPCC
Counselor
1170 E CENTRAL AVE
WEST CARROLLTON, OH 45449
Montgomery County (937) 865-9061
TRISHA GRIMM BSW LSW
Social Worker
1170 E CENTRAL AVE
WEST CARROLLTON, OH 45449
Montgomery County (937) 865-9061
LISA J EDWARDS LSW
Social Worker
1170 E CENTRAL AVE
WEST CARROLLTON, OH 45449
Montgomery County (937) 865-9061

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 Jill Clark's NPI number?

The NPI number for Jill Clark is 1568684777. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jill Clark located?

Jill Clark practices at 1170 E Central Ave, West Carrollton, OH 45449. The listed phone number is (937) 865-9061.

What is Jill Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jill 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.