IndividualActive
Jerry Clark, M.H.S.
NPI 1356521371 · Counselor · Phila, PA
Jerry Clark, M.H.S. is a Counselor provider in Phila, PA (NPI 1356521371).
Provider details
- NPI number
- 1356521371
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- M.H.S.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
112 N Broad St
Rm 821
Phila, PA 19102-1510
Phone: (215) 568-0860
Fax: (215) 568-0769
Street-level locationGet directions
Mailing address
6913 Limekiln Pike
Philadelphia, PA 19138-2007
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2007-11-07
Frequently asked questions
- What is Jerry Clark's NPI number?
- Jerry Clark's National Provider Identifier (NPI) is 1356521371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Clark's specialty?
- Jerry Clark is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Clark located?
- Jerry Clark's practice location on file with NPPES is 112 N Broad St, Phila, PA 19102-1510.
- What is Jerry Clark's phone number?
- The practice phone number listed in the NPPES registry for Jerry Clark is (215) 568-0860.
- Is Jerry Clark's NPI active?
- Yes — Jerry Clark's NPI (1356521371) is active in the NPPES registry as of the last update on 2007-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.