JAY K CLARK LPC, LPCC
NPI 1790962561
Counselor - Professional in La Crosse, WI
About Jay K Clark Lpc, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY K CLARK LPC, LPCC (NPI 1790962561) is an individual professional provider in La Crosse, Wisconsin, licensed in Wisconsin (3814-125) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jay K Clark Lpc, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Jay Clark's NPI number?
The NPI number for Jay Clark is 1790962561. It was assigned to this individual provider in the NPPES registry on January 23, 2008.
Where is Jay Clark located?
Jay Clark practices at 115 5th Ave S Suite 507, La Crosse, WI 54601. The listed phone number is (608) 797-5679.
What is Jay Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jay Clark enrolled in Medicare?
Yes. Jay Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jay Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan and 1 other insurer list Jay 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 Jay Clark was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jay K Clark, LPC, LPCC · NPI 1790962561
Professional provider in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since January 23, 2008.
## Identity
- **NPI:** 1790962561 (Entity type: Individual)
- **Enumerated:** January 23, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3814-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 115 5TH AVE S, SUITE 507, La Crosse, WI 54601-9200
- **Phone:** (608) 797-5679
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** August 30, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1790962561) · Data from the CMS NPPES public registry.