Jay Clark, LPC, LPCC
NPI 1790962561 · Professional Counselor · La Crosse, WI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Clark, LPC, LPCC is a Professional Counselor provider in La Crosse, WI (NPI 1790962561).
Provider details
- NPI number
- 1790962561
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, LPCC
- Sex
- Male
- Sole proprietor
- No
- License
- 3814-125 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
18 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
- 2008-01-23
- Last updated
- 2013-08-30
Frequently asked questions
- What is Jay Clark's NPI number?
- Jay Clark's National Provider Identifier (NPI) is 1790962561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Clark's specialty?
- Jay Clark is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jay Clark located?
- Jay Clark's practice location on file with NPPES is 115 5th Ave S, La Crosse, WI 54601-9200.
- What is Jay Clark's phone number?
- The practice phone number listed in the NPPES registry for Jay Clark is (608) 797-5679.
- Does Jay Clark accept Medicare?
- Jay Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Clark's NPI active?
- Yes — Jay Clark's NPI (1790962561) is active in the NPPES registry as of the last update on 2013-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.