Jayson Clark, MSMFT, LPC
NPI 1598198954ActiveIndividual· Counselor, Professional· Roseburg, OR
Counselor, Professional (MSMFT, LPC) with Adapt, practicing in Roseburg, Oregon. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1598198954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSMFT, LPC |
| Sole proprietor | No |
| NPI issued | Aug 20, 2013 |
| Last updated in NPPES | Jul 7, 2022 |
| Certified by provider | Jul 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C5596 | OR |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | T-17-081 | OR |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OR) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- AdaptWinston, OR · 39 clinicians
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