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JEREMY JOSEPH CLARK
NPI 1982772042
Counselor - Mental Health in Eugene, OR

Active since November 30, 2006
71 CENTENNIAL LOOP STE A, EUGENE, OR 97401(541) 505-8426(541) 515-6938 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Joseph Clark NPPES

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

JEREMY JOSEPH CLARK (NPI 1982772042) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1982772042
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY JOSEPH CLARK
Location Address71 CENTENNIAL LOOP STE AEugene, OR 97401-2443
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 505-8426
Fax(541) 515-6938
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateFebruary 11, 2020
✔ NPI 1982772042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
71 CENTENNIAL LOOP STE A, Eugene, OR 97401
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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.

DONALD SCHAEFER
Counselor (Mental Health)
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 505-8426
ARTURO ZAMUDIO
Counselor (Mental Health)
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 505-8426
JESSICA CLARKE CRM
Peer Specialist
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 214-2786
SIR AARON MASON
Marriage & Family Therapist
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 505-8426
COLUMBIACARE SERVICES
Clinic/Center
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 858-8170
JESSIE SEVIGNY
Counselor (Mental Health)
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 505-8426
JODI MATHIS-BABBITT
Counselor (Mental Health)
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 505-8426
YOLANDA GOMEZ
Counselor (Mental Health)
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 505-8426

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 Jeremy Clark's NPI number?

The NPI number for Jeremy Clark is 1982772042. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jeremy Clark located?

Jeremy Clark practices at 71 Centennial Loop Ste A, Eugene, OR 97401. The listed phone number is (541) 505-8426.

What is Jeremy Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Clark was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.