IndividualActive
Jim Clark
NPI 1134694953 · Counselor · Lacey, WA
Jim Clark is a Counselor provider in Lacey, WA (NPI 1134694953).
Provider details
- NPI number
- 1134694953
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- SC60907499 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
612 Woodland Square Loop Se Ste 401
Lacey, WA 98503-1070
Phone: (360) 763-5828
Street-level locationGet directions
Mailing address
7529 Brianna Ct Se
Olympia, WA 98513-5302
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2018-12-19
Frequently asked questions
- What is Jim Clark's NPI number?
- Jim Clark's National Provider Identifier (NPI) is 1134694953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jim Clark's specialty?
- Jim Clark is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jim Clark located?
- Jim Clark's practice location on file with NPPES is 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070.
- What is Jim Clark's phone number?
- The practice phone number listed in the NPPES registry for Jim Clark is (360) 763-5828.
- Is Jim Clark's NPI active?
- Yes — Jim Clark's NPI (1134694953) is active in the NPPES registry as of the last update on 2018-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.