1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Counselor
  6. NPI Profile

JAY CLARK
NPI 1851083000
Counselor - Pastoral in Fargo, ND

Active since May 25, 2023
2101 ELM ST N, FARGO, ND 58102(701) 226-6796 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay Clark NPPES

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

JAY CLARK (NPI 1851083000) is an individual pastoral provider in Fargo, North Dakota and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1851083000
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameJAY CLARK
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address7234 29th St SFargo, ND 58104 · (701) 226-6796
Phone(701) 226-6796
Sole ProprietorYes
Enumeration DateMay 25, 2023
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1851083000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2479 (NC)
2101 ELM ST N, Fargo, ND 58102
Open in Google Maps ↗

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.

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

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 1851083000. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Jay Clark located?

Jay Clark practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 226-6796.

What is Jay Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Jay Clark was last updated on January 31, 2024. 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.