Jessica Ilo Clark, LPC, NCC
NPI 1902385875ActiveIndividual· Counselor, Professional· Simpsonville, SC
Counselor, Professional (LPC, NCC) with Talkspace Provider Network PA and 1 other group, practicing in Simpsonville, South Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1902385875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, NCC |
| Sole proprietor | No |
| NPI issued | Aug 10, 2018 |
| Last updated in NPPES | Aug 20, 2023 |
| Certified by provider | Aug 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 8125 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (SC) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- Talkspace Provider Network PADelray Beach, FL · 244 clinicians
- South Carolina Dept of Mental Health Accounting OfficeBennettsville, SC · 221 clinicians
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