Jesse Clark, LPCC
NPI 1730517087 · Professional Counselor · Dayton, OH
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Clark, LPCC is a Professional Counselor provider in Dayton, OH (NPI 1730517087).
Provider details
- NPI number
- 1730517087
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- No
- License
- E.1600066 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
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
4 documented practice locations
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
Additional practice locations (3)
- 65 Grady CtDayton, OH 45409-1151Phone: (937) 416-4031
- 65 Grady CtDayton, OH 45409-1151Phone: (937) 416-4031
- 30 Overbrook Dr Ste CMonroe, OH 45050-1168Phone: (513) 539-5250Fax: (513) 539-5371
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is Jesse Clark's NPI number?
- Jesse Clark's National Provider Identifier (NPI) is 1730517087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Clark's specialty?
- Jesse Clark is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jesse Clark located?
- Jesse Clark's practice location on file with NPPES is 65 Grady Ct, Dayton, OH 45409.
- What is Jesse Clark's phone number?
- The practice phone number listed in the NPPES registry for Jesse Clark is (937) 416-4031.
- Does Jesse Clark accept Medicare?
- Jesse Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Clark's NPI active?
- Yes — Jesse Clark's NPI (1730517087) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.