MR. JERRY D CLARK LPC
NPI 1710058284
Counselor - Mental Health in Houston, TX

Q: What is Jerry Clark's NPI number?

The NPI number for Jerry Clark is 1710058284. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Jerry 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 Jerry 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.

Active since November 13, 2006

1830 NASA PKWY STE 104, HOUSTON, TX 77058(281) 335-8422(281) 335-0702 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jerry D Clark Lpc NPPES

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

MR. JERRY D CLARK LPC (NPI 1710058284) is an individual mental health provider in Houston, Texas, licensed in Texas (15162) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710058284

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JERRY D CLARKCredential: LPC

Location Address1830 NASA PKWY STE 104Houston, TX 77058-3544

Mailing Address1830 Nasa Pkwy Ste 104Houston, TX 77058-3544 · (281) 335-8422 · Fax (281) 335-0702

Phone(281) 335-8422

Fax(281) 335-0702

Sole ProprietorYes

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710058284 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 TX · 15162

1830 NASA PKWY STE 104, Houston, TX 77058

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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 Jerry Clark's NPI number?

The NPI number for Jerry Clark is 1710058284. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Jerry Clark located?

Jerry Clark practices at 1830 Nasa Pkwy Ste 104, Houston, TX 77058. The listed phone number is (281) 335-8422.

What is Jerry Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jerry Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jerry Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry 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.