1. Home
  2. Directory
  3. Oklahoma
  4. Tahlequah
  5. Peer Specialist
  6. NPI Profile

JON DOUGLAS CLARK
NPI 1942172317
Peer Specialist in Tahlequah, OK

Active since September 23, 2025
21275 STICK ROSS MOUNTAIN RD, TAHLEQUAH, OK 74464(918) 931-3700 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jon Douglas Clark NPPES

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

JON DOUGLAS CLARK (NPI 1942172317) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1942172317
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJON DOUGLAS CLARK
Location Address21275 STICK ROSS MOUNTAIN RDTahlequah, OK 74464-7343
Mailing Address21275 Stick Ross Mountain RdTahlequah, OK 74464-7343 · (918) 931-3700
Phone(918) 931-3700
Sole ProprietorYes
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1942172317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
21275 STICK ROSS MOUNTAIN RD, Tahlequah, OK 74464
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

DELEANA KIRK
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 931-3700
MS. ASHLEY MARIE HAYES BHCM I
Case Manager/Care Coordinator
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 201-4333
MELODY GRACE EVANS
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 869-3128
MR. NICHOLAS LEE GARRETT
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 931-5129
LUCAS BARAJAS
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 316-1309
JESSICA RANEE URIGUEN
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 576-8211
DRAKE URIGUEN
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 576-8211
HAYDEN GRACE THOMAS
Peer Specialist
21275 STICK ROSS MOUNTAIN RD
TAHLEQUAH, OK 74464
Cherokee County (918) 457-7034

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 Jon Clark's NPI number?

The NPI number for Jon Clark is 1942172317. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Jon Clark located?

Jon Clark practices at 21275 Stick Ross Mountain Rd, Tahlequah, OK 74464. The listed phone number is (918) 931-3700.

What is Jon Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jon Clark was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.