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JACOB CLARK
NPI 1750194643
Counselor - Addiction (Substance Use Disorder) in Sault Sainte Marie, MI

Active since January 27, 2025
1416 W EASTERDAY AVE, SAULT SAINTE MARIE, MI 49783(906) 632-9809(906) 632-9845 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Clark NPPES

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

JACOB CLARK (NPI 1750194643) is an individual addiction (substance use disorder) provider in Sault Sainte Marie, Michigan and active in the NPI registry since January 2025. He maintains 9 additional practice locations.

NPPES Registry Identity

NPI1750194643
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB CLARK
Location Address1416 W EASTERDAY AVESault Sainte Marie, MI 49783-1415
Mailing Address100 Malton RdNegaunee, MI 49866-2001 · (906) 228-9699
Phone(906) 632-9809
Fax(906) 632-9845
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1750194643 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
1416 W EASTERDAY AVE, Sault Sainte Marie, MI 49783
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Secondary Practice Locations 9

Location 12655 Ashmun StSault Sainte Marie, MI 49783-3711 · Phone (906) 632-2522 · Fax (906) 632-2370
Location 2220 Roosevelt St Ste 2Ironwood, MI 49938-1737 · Phone (906) 364-7506 · Fax (906) 364-7508
Location 31115 S Hemlock St Ste 1Iron Mountain, MI 49801-3800 · Phone (906) 774-2561 · Fax (906) 774-2597
Location 41101 Ludington StEscanaba, MI 49829-3550 · Phone (906) 789-3528 · Fax (906) 786-9801
Location 51500 Sandpoint RdMunising, MI 49862-1406 · Phone (906) 291-3400 · Fax (906) 464-4043
Location 6100 Malton Rd Ste 1Negaunee, MI 49866-2002 · Phone (906) 451-4889 · Fax (906) 228-8156
Location 7104 Malton RdNegaunee, MI 49866-2000 · Phone (906) 228-4692 · Fax (906) 228-2830
Location 8241 Wright StMarquette, MI 49855-1955 · Phone (906) 228-7611 · Fax (906) 228-8156
Location 9100 Malton Rd Ste 7&8Negaunee, MI 49866-2001 · Phone (906) 485-2347 · Fax (906) 486-1150

Other Providers at the Same Location NPPES 20

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

KELSEY NICOLE SWIGERT
Counselor (Addiction (Substance Use Disorder))
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542
GREAT LAKES RECOVERY CENTERS
Clinic/Center (Rehabilitation, Substance Use Disorder)
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 748-9010
BRENDA MACARTHUR LPN
Licensed Practical Nurse
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542
STEPHANIE SANDERSON
Counselor (Addiction (Substance Use Disorder))
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542
ARTINA MARIE KREUZER
Counselor (Addiction (Substance Use Disorder))
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542
ASHLEY SMITH
Counselor (Addiction (Substance Use Disorder))
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542
CHELSEA I. CARR
Counselor (Addiction (Substance Use Disorder))
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542
EMMA DAVID
Counselor (Addiction (Substance Use Disorder))
1416 W EASTERDAY AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-5542

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 Jacob Clark's NPI number?

The NPI number for Jacob Clark is 1750194643. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Jacob Clark located?

Jacob Clark practices at 1416 W Easterday Ave, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-9809.

What is Jacob Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Clark was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.