Jerry Clark, SUDR, CPC, AAC
NPI 1497232060 · Addiction (Substance Use Disorder) Counselor · Centralia, WA
Jerry Clark, SUDR, CPC, AAC is a Addiction (Substance Use Disorder) Counselor provider in Centralia, WA (NPI 1497232060).
Provider details
- NPI number
- 1497232060
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDR, CPC, AAC
- Sex
- Male
- Sole proprietor
- No
- License
- CG60783169 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2018-07-25
- Last updated
- 2020-11-13
- Certified
- 2020-11-13
Frequently asked questions
- What is Jerry Clark's NPI number?
- Jerry Clark's National Provider Identifier (NPI) is 1497232060, 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 Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Clark located?
- Jerry Clark's practice location on file with NPPES is 1616 S Gold St Ste 4, Centralia, WA 98531-8930.
- What is Jerry Clark's phone number?
- The practice phone number listed in the NPPES registry for Jerry Clark is (360) 807-4929.
- Is Jerry Clark's NPI active?
- Yes — Jerry Clark's NPI (1497232060) is active in the NPPES registry as of the last update on 2020-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.