MRS. JESSICA YUKIHIRO CLARK
NPI 1952854424
Marriage & Family Therapist in Colorado Springs, CO
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jessica Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
San Francisco, CA 94111
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Colorado enrollment
- 504 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
COLORADO SPRINGS, CO 80916
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.
Which organizations bill Medicare for Jessica Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PC (San Jose, CA), Moona Medical Group Of California PC (San Francisco, CA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Clark accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Jessica 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 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 18 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.
# Mrs. Jessica Yukihiro Clark · NPI 1952854424
Marriage & Family Therapist provider in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since August 1, 2016.
## Identity
- **NPI:** 1952854424 (Entity type: Individual)
- **Enumerated:** August 1, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 120350 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4090 CENTER PARK DR, Colorado Springs, CO 80916-4507
- **Phone:** (530) 265-9057
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Moona Medical Group Of California PC (NPI 1023824836, San Francisco, CA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952854424) · Data from the CMS NPPES public registry.