Jenesis E. Clark, LPCC
NPI 1972125821ActiveIndividual· Counselor· Cincinnati, OH
Counselor (LPCC) in Cincinnati, Ohio, licensed in OH, with an NPI issued in May 2020. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1972125821 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | Yes |
| NPI issued | May 14, 2020 |
| Last updated in NPPES | Mar 20, 2024 |
| Certified by provider | Mar 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | E.2404016 | OH |
| Counselor, Professional | 101YP2500X | E.2404016 | OH |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
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