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JEREMY CLARK
NPI 1851551873
Counselor - Mental Health in Pocatello, ID

Active since June 12, 2008
2055 GARRETT WAY, STE 1, POCATELLO, ID 83201(208) 236-1600(208) 236-6695 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeremy Clark NPPES

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

JEREMY CLARK (NPI 1851551873) is an individual mental health provider in Pocatello, Idaho and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1851551873
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY CLARK
Location Address2055 GARRETT WAY, STE 1Pocatello, ID 83201-5100
Mailing Address2055 Garrett Way, Ste 1Pocatello, ID 83201-5100 · (208) 236-1600 · Fax (208) 236-6695
Phone(208) 236-1600
Fax(208) 236-6695
Sole ProprietorNo
Enumeration DateJune 12, 2008
✔ NPI 1851551873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2055 GARRETT WAY, Pocatello, ID 83201
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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.

COURTNEY MOORE
Counselor (Mental Health)
2055 GARRETT WAY, STE 2
POCATELLO, ID 83201
Bannock County (208) 233-7832
STEVEN PETERS
Counselor
2055 GARRETT WAY, STE 2
POCATELLO, ID 83201
Bannock County (208) 233-7832
SHERRY DEITER
Counselor (Mental Health)
2055 GARRETT WAY, STE A
POCATELLO, ID 83201
Bannock County (208) 233-7832
TANYA CHANTRY
Counselor (Mental Health)
2055 GARRETT WAY, STE 1
POCATELLO, ID 83201
Bannock County (208) 236-1600
DAVEY BURRELL
Counselor (Mental Health)
2055 GARRETT WAY, STE. 1
POCATELLO, ID 83201
Bannock County (208) 236-1600
DARCI J KEARN
Counselor
2055 GARRETT WAY, STE 2
POCATELLO, ID 83201
Bannock County (208) 233-7832
BRANDON H. BROADHEAD BA
Counselor
2055 GARRETT WAY, SUITE 1
POCATELLO, ID 83201
Bannock County (208) 233-7832
PORTNEUF VALLEY FAMILY CENTER
Counselor
2055 GARRETT WAY, SUITE 1
POCATELLO, ID 83201
Bannock County (208) 233-7832

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 Jeremy Clark's NPI number?

The NPI number for Jeremy Clark is 1851551873. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Jeremy Clark located?

Jeremy Clark practices at 2055 Garrett Way Ste 1, Pocatello, ID 83201. The listed phone number is (208) 236-1600.

What is Jeremy Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Clark was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.