Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACKIA CLARK
NPI 1669394417
Counselor in Henderson, NC

Active since July 25, 2026
805 STANLEY ST, HENDERSON, NC 27536(984) 353-8294 Get Directions Write a Review

NPPES record added: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackia Clark NPPES

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

JACKIA CLARK (NPI 1669394417) is an individual counselor in Henderson, North Carolina and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1669394417
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACKIA CLARK
Location Address805 STANLEY STHenderson, NC 27536-3059
Mailing Address805 Stanley StHenderson, NC 27536-3059 · (984) 353-8294
Sole ProprietorYes
Enumeration DateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
NPI 1669394417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.

805 STANLEY ST, Henderson, NC 27536

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 Jackia Clark's NPI number?

The NPI number for Jackia Clark is 1669394417. It was assigned to this individual provider in the NPPES registry on July 25, 2026.

Where is Jackia Clark located?

Jackia Clark practices at 805 Stanley St, Henderson, NC 27536. The listed phone number is (984) 353-8294.

What is Jackia 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 Jackia Clark was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.