Jacalyn Clark, LPC

ActiveIndividual ProviderMental Health Counselor
NPI issued: January 15, 2026

Quick Facts

NPI Number
1093673121
TypeIndividual
StatusActive
SpecialtyMental Health Counselor
Taxonomy101YM0800X — Mental Health Counselor
Phone
(385) 290-5014
StateCT

NPI Validation Status: Verified

Valid 10-digit NPI number (1093673121)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 15, 2026)
Data source: CMS NPPES

Provider Overview

JACALYN CLARK, LPC is a Mental Health Counselor provider based in Southport, CT who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1093673121
Provider TypeIndividual Provider
GenderFemale
CredentialLPC
StatusActive
Enumeration DateJanuary 15, 2026

Practice Location

CitySouthport
StateCT
ZIP Code06890-1017
Phone(385) 290-5014

Specialties & Licenses

★ Primary
SpecialtyMental Health Counselor
Taxonomy Code101YM0800X
License StateCT

Mailing Address

CitySouthport
StateCT
ZIP Code06890-1017
Phone(385) 290-5014
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1093673121 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093673121for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093673121 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

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333,922
Mental Health Counselor Providers in the US

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People Also Ask

What is Jacalyn Clark's NPI number?
Jacalyn Clark's NPI number is 1093673121, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacalyn Clark's NPI currently active?
Yes, Jacalyn Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Jacalyn Clark specialize in?
Jacalyn Clark specializes in Mental Health Counselor. The healthcare taxonomy code associated with this specialty is 101YM0800X.
Where does Jacalyn Clark practice?
Jacalyn Clark practices in Southport, CT 06890-1017.
When was Jacalyn Clark's NPI issued?
Jacalyn Clark's NPI was issued on January 15, 2026.
What is Jacalyn Clark's provider type?
Jacalyn Clark is registered as an Individual Provider under CMS NPI Type 1.