1. Home
  2. Directory
  3. Oklahoma
  4. Cleveland
  5. Counselor
  6. NPI Profile

JEROD CLARK
NPI 1952015141
Counselor - Mental Health in Cleveland, OK

Active since January 11, 2023PECOS Enrolled
907 W CADDO ST, CLEVELAND, OK 74020(918) 607-5576 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerod Clark NPPES

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

JEROD CLARK (NPI 1952015141) is an individual mental health provider in Cleveland, Oklahoma and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952015141
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEROD CLARK
Location Address907 W CADDO STCleveland, OK 74020-4201
Mailing Address907 W Caddo StCleveland, OK 74020-4201 · (918) 607-5576
Phone(918) 607-5576
Sole ProprietorNo
Enumeration DateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1952015141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
907 W CADDO ST, Cleveland, OK 74020
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerod Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MALCOLM JOHN WHITE
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 273-1841
RITA CARMEN RODRIGUEZ
Peer Specialist
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 273-1841
DANIEL ANTWAIN SHAW MAE
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
ADRIAN DEAN EDDINGS
Peer Specialist
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
CARRIE RENE HOLLOWAY
Community/Behavioral Health
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (844) 458-2100
MRS. AMY COMPTON
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 358-5339
MR. JAMES CORY GARNER
Counselor (Mental Health)
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511
KELLY MCDONALD
Case Manager/Care Coordinator
907 W CADDO ST
CLEVELAND, OK 74020
Pawnee County (918) 308-5511

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 Jerod Clark's NPI number?

The NPI number for Jerod Clark is 1952015141. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Jerod Clark located?

Jerod Clark practices at 907 W Caddo St, Cleveland, OK 74020. The listed phone number is (918) 607-5576.

What is Jerod Clark's specialty?

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

Is Jerod Clark enrolled in Medicare?

Yes. Jerod Clark is registered in the Medicare PECOS enrollment system.

What insurance does Jerod Clark accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jerod Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerod Clark was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.