What is Jackie Clark's NPI number?

Jackie Clark's National Provider Identifier (NPI) is 1467874107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackie Clark's specialty?

Jackie Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jackie Clark located?

Jackie Clark's practice location on file with NPPES is 6130 Elton Ave, Las Vegas, NV 89107-2538.

What is Jackie Clark's phone number?

The practice phone number listed in the NPPES registry for Jackie Clark is (919) 710-4252.

Is Jackie Clark's NPI active?

Yes — Jackie Clark's NPI (1467874107) is active in the NPPES registry as of the last update on 2014-01-15.

IndividualActive

Jackie Clark

NPI 1467874107 · Mental Health Counselor · Las Vegas, NV

Jackie Clark is a Mental Health Counselor provider in Las Vegas, NV (NPI 1467874107).

Provider details

NPI number: 1467874107
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 251S00000X (NV)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 251S00000X (NV)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 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

6130 Elton Ave

Las Vegas, NV 89107-2538

Phone: (919) 710-4252

Street-level locationGet directions

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Mailing address