Jessica Clark, MA
NPI 1063140465 · Mental Health Counselor · Elkhart, IN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Clark, MA is a Mental Health Counselor provider in Elkhart, IN (NPI 1063140465).
Provider details
- NPI number
- 1063140465
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Jessica Clark's NPI number?
- Jessica Clark's National Provider Identifier (NPI) is 1063140465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Clark's specialty?
- Jessica Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jessica Clark located?
- Jessica Clark's practice location on file with NPPES is 59466 County Road 113, Elkhart, IN 46517-3644.
- What is Jessica Clark's phone number?
- The practice phone number listed in the NPPES registry for Jessica Clark is (574) 830-5778.
- Does Jessica Clark accept Medicare?
- Jessica Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Clark's NPI active?
- Yes — Jessica Clark's NPI (1063140465) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.