JONATHAN BLAKE CLARKE LCAS
NPI 1720458615
Counselor - Addiction (Substance Use Disorder) in Southport, NC

Q: What is Jonathan Clarke's NPI number?

The NPI number for Jonathan Clarke is 1720458615. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Q: What is Jonathan Clarke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Clarke was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 05, 2015

1529 SHEPARD RD SE, SOUTHPORT, NC 28461(704) 249-4231(828) 544-1201 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Jun 26, 2020 (2 updates tracked since 2020).

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About Jonathan Blake Clarke Lcas NPPES

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

JONATHAN BLAKE CLARKE LCAS (NPI 1720458615) is an individual addiction (substance use disorder) provider in Southport, North Carolina, licensed in North Carolina (LCAS-2729) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1720458615

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJONATHAN BLAKE CLARKECredential: LCAS

Location Address1529 SHEPARD RD SESouthport, NC 28461-9435

Mailing Address1529 Shepard Rd SeSouthport, NC 28461-9435 · (704) 249-4231

Phone(704) 249-4231

Fax(828) 544-1201

Sole ProprietorNo

Enumeration DateOctober 5, 2015

Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration

NPPES CertifiedDecember 6, 2023

✔ NPI 1720458615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · LCAS-2729

1529 SHEPARD RD SE, Southport, NC 28461

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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 NC.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 Jonathan Clarke's NPI number?

The NPI number for Jonathan Clarke is 1720458615. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Jonathan Clarke located?

Jonathan Clarke practices at 1529 Shepard Rd SE, Southport, NC 28461. The listed phone number is (704) 249-4231.

What is Jonathan Clarke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Jonathan Clarke accept?

Health plans from Blue Cross and Blue Shield of NC list Jonathan Clarke 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 Jonathan Clarke was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.