IndividualActive
Jendaya Clark
NPI 1346866563 · Counselor · Rockford, IL
Jendaya Clark is a Counselor provider in Rockford, IL (NPI 1346866563).
Provider details
- NPI number
- 1346866563
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 180.012915 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1201 Cypress Ter
Rockford, IL 61102-3375
Phone: (815) 519-8548
Street-level locationGet directions
Mailing address
Po Box 341
Rockford, IL 61105-0341
Registry dates
- Enumerated
- 2020-06-23
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Frequently asked questions
- What is Jendaya Clark's NPI number?
- Jendaya Clark's National Provider Identifier (NPI) is 1346866563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jendaya Clark's specialty?
- Jendaya Clark is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jendaya Clark located?
- Jendaya Clark's practice location on file with NPPES is 1201 Cypress Ter, Rockford, IL 61102-3375.
- What is Jendaya Clark's phone number?
- The practice phone number listed in the NPPES registry for Jendaya Clark is (815) 519-8548.
- Is Jendaya Clark's NPI active?
- Yes — Jendaya Clark's NPI (1346866563) is active in the NPPES registry as of the last update on 2020-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.