JENESIS E CLARK LPCC
NPI 1972125821
Counselor in Cincinnati, OH

Q: What is Jenesis Clark's NPI number?

The NPI number for Jenesis Clark is 1972125821. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Q: What is Jenesis Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenesis Clark was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 14, 2020PECOS Enrolled

3333 BURNET AVE ML 3015, CINCINNATI, OH 45229(513) 636-4336(513) 636-7756 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jenesis E Clark Lpcc NPPES

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

JENESIS E CLARK LPCC (NPI 1972125821) is an individual counselor in Cincinnati, Ohio, licensed in Ohio (E.2404016) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972125821

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENESIS E CLARKCredential: LPCC

Location Address3333 BURNET AVE ML 3015Cincinnati, OH 45229

Mailing Address5556 Clearview AveCincinnati, OH 45248-3216

Phone(513) 636-4336

Fax(513) 636-7756

Sole ProprietorYes

Enumeration DateMay 14, 2020

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1972125821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · E.2404016

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.2404016 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3333 BURNET AVE ML 3015, Cincinnati, OH 45229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.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)

Jenesis E Clark Lpcc 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 10

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

CHIMEREODO OKOROJI

Psychologist (Clinical Child & Adolescent)