Organization Active NPI

Clark Counseling & Consultation

  • Professional Counselor
  • Enid, OK
National Provider Identifier
1043116528
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CLARK COUNSELING & CONSULTATION
Practice address
110 Kimbra Dr
Enid, OK 73703-7214
Phone
(580) 402-2696
NPI assigned
Oct 20, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerod L. Clark, MCP, LPC
Title
Owner
Phone
(405) 283-8251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

110 Kimbra Dr
Enid, OK 73703-7214

Mailing address

110 Kimbra Dr
Enid, OK 73703-7214

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1043116528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KIMBRA DR",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737037214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KIMBRA DR",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737037214",
            "telephone_number": "580-402-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-283-8251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.