IndividualActive
Jacob Clark
NPI 1750194643 · Addiction (Substance Use Disorder) Counselor · Sault Sainte Marie, MI
Provider details
- NPI number
- 1750194643
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
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
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
10 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
1416 W Easterday Ave
Sault Sainte Marie, MI 49783-1415
Phone: (906) 632-9809
Fax: (906) 632-9845
Street-level locationGet directions
Mailing address
100 Malton Rd
Negaunee, MI 49866-2001
Additional practice locations (9)
- 1101 Ludington StEscanaba, MI 49829-3550Phone: (906) 789-3528Fax: (906) 786-9801
- 1115 S Hemlock St Ste 1Iron Mountain, MI 49801-3800Phone: (906) 774-2561Fax: (906) 774-2597
- 220 Roosevelt St Ste 2Ironwood, MI 49938-1737Phone: (906) 364-7506Fax: (906) 364-7508
- 241 Wright StMarquette, MI 49855-1955Phone: (906) 228-7611Fax: (906) 228-8156
- 1500 Sandpoint RdMunising, MI 49862-1406Phone: (906) 291-3400Fax: (906) 464-4043
- 100 Malton Rd Ste 7&8Negaunee, MI 49866-2001Phone: (906) 485-2347Fax: (906) 486-1150
- 104 Malton RdNegaunee, MI 49866-2000Phone: (906) 228-4692Fax: (906) 228-2830
- 100 Malton Rd Ste 1Negaunee, MI 49866-2002Phone: (906) 451-4889
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.