LISA JACOBS CLARK
NPI 1891241469
Counselor - Mental Health in Riverside, CA

Active since September 01, 2016
6840 INDIANA AVE STE 275, RIVERSIDE, CA 92506(951) 823-5134 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Jacobs Clark NPPES

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

LISA JACOBS CLARK (NPI 1891241469) is an individual mental health provider in Riverside, California, licensed in California (IMF69558) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1891241469
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA JACOBS CLARK
Location Address6840 INDIANA AVE STE 275Riverside, CA 92506
Mailing Address6840 Indiana Ave Ste 275Riverside, CA 92506-4279 · (951) 778-0230
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
NPI 1891241469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · IMF69558
6840 INDIANA AVE STE 275, Riverside, CA 92506

Other Names 1

Professional Name (2)Lisa Jacobs Clark

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Social Worker (Clinical)
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Social Worker (Clinical)
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Social Worker (Clinical)
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Marriage & Family Therapist
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Social Worker (Clinical)
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Marriage & Family Therapist
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Marriage & Family Therapist
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506

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 Lisa Jacobs Clark's NPI number?

The NPI number for Lisa Jacobs Clark is 1891241469. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Lisa Jacobs Clark located?

Lisa Jacobs Clark practices at 6840 Indiana Ave Ste 275, Riverside, CA 92506. The listed phone number is (951) 823-5134.

What is Lisa Jacobs 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 Lisa Jacobs Clark was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.