Jacquelyn J. Clark, MS, CADC II, LPC
NPI 1356673263ActiveIndividual· Counselor, Professional· Bend, OR
Counselor, Professional (MS, CADC II, LPC) in Bend, Oregon, licensed in OR, with an NPI issued in February 2010.
Overview
| NPI | 1356673263 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CADC II, LPC |
| Sole proprietor | No |
| NPI issued | Feb 2, 2010 |
| Last updated in NPPES | Sep 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C2957 | OR |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 11-06-99 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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