MRS. JESSICA YUKIHIRO CLARK
NPI 1952854424
Marriage & Family Therapist in Colorado Springs, CO

Q: What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1952854424. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Q: What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment

4090 CENTER PARK DR, COLORADO SPRINGS, CO 80916(530) 265-9057 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mrs. Jessica Yukihiro Clark NPPES

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

MRS. JESSICA YUKIHIRO CLARK (NPI 1952854424) is an individual marriage & family therapist in Colorado Springs, Colorado, licensed in California (120350) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952854424

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JESSICA YUKIHIRO CLARK

Location Address4090 CENTER PARK DRColorado Springs, CO 80916-4507

Mailing Address8081 Goldenray PlColorado Springs, CO 80908-5078 · (562) 857-3592

Phone(530) 265-9057

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 1, 2016

Last NPPES UpdateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1952854424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 120350

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 93310 (CA)

4090 CENTER PARK DR, Colorado Springs, CO 80916

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Yukihiro Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931617529

PECOS Enrollment IDI20250805004032

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 2

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

CARALEE FREDERIC LCSW

Social Worker (Clinical)

4090 CENTER PARK DR
COLORADO SPRINGS, CO 80916

El Paso County (719) 574-8761

MRS. ELIZABETH JONES HART LSW

Social Worker (Clinical)

4090 CENTER PARK DR, SUITE 2
COLORADO SPRINGS, CO 80916

El Paso County (303) 371-1000

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 Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1952854424. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Jessica Clark located?

Jessica Clark practices at 4090 Center Park Dr, Colorado Springs, CO 80916. The listed phone number is (530) 265-9057.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jessica Clark enrolled in Medicare?

Yes. Jessica Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.