JONATHAN MICHAEL CLARK MA, MS, LPC, NBCC
NPI 1831563105
Counselor - Professional in Philadelphia, PA

Active since November 23, 2015
1522B GREGG ST, PHILADELPHIA, PA 19115(215) 698-1978 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Michael Clark Ma, Ms, Lpc, Nbcc NPPES

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

JONATHAN MICHAEL CLARK MA, MS, LPC, NBCC (NPI 1831563105) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC008486) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1831563105
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN MICHAEL CLARKCredential: MA, MS, LPC, NBCC
Location Address1522B GREGG STPhiladelphia, PA 19115-4283
Mailing Address1522b Gregg StPhiladelphia, PA 19115-4283 · (215) 698-1978
Sole ProprietorYes
Enumeration DateNovember 23, 2015
NPI 1831563105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC008486
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 9350568 (PA)
1522B GREGG ST, Philadelphia, PA 19115

Other Providers at the Same Location NPPES

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

Point of Service
1522B GREGG ST
PHILADELPHIA, PA 19115

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 Clark's NPI number?

The NPI number for Jonathan Clark is 1831563105. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Where is Jonathan Clark located?

Jonathan Clark practices at 1522B Gregg St, Philadelphia, PA 19115. The listed phone number is (215) 698-1978.

What is Jonathan Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jonathan Clark was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.