What is Stacy Clark's NPI number?

Stacy Clark's National Provider Identifier (NPI) is 1669012647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stacy Clark's specialty?

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

Where is Stacy Clark located?

Stacy Clark's practice location on file with NPPES is 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057.

What is Stacy Clark's phone number?

The practice phone number listed in the NPPES registry for Stacy Clark is (601) 956-4816.

Is Stacy Clark's NPI active?

Yes — Stacy Clark's NPI (1669012647) is active in the NPPES registry as of the last update on 2020-01-08.

IndividualActive

Stacy Clark

NPI 1669012647 · Mental Health Counselor · Jackson, MS

Stacy Clark is a Mental Health Counselor provider in Jackson, MS (NPI 1669012647).

Provider details

NPI number: 1669012647
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 index)

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

Registry tenure38% of score
6 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

460 Briarwood Dr Ste 510

Jackson, MS 39206-3057

Phone: (601) 956-4816

Fax: (601) 956-4817

Street-level locationGet directions

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Mailing address