Jaylah Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20242 Issued in NC

Practice address

1515 W Cornwallis Dr Ste 207
Greensboro, NC 27408-6334

Phone

(336) 937-3146

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monarch

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1831465442
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1285452128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 HEWITT ST APT E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072088",
            "telephone_number": "252-325-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CORNWALLIS DR STE 207",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086334",
            "telephone_number": "336-937-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Main St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272844003",
            "country_code": "US",
            "telephone_number": "336-283-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAYLAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Jerome Clark, M.D.
• David Charles Clark Jr., MD
• Dyanna Geffel Clark, M.D.
• Gilbert W Clark, PA-C
• Holly Ann Clark, CADC
• Jerry R Clark, DDS, MS
• Joseph Huston Clark, MD
• Josie Clark, LPC
• Kayla Elizabeth Clark, OTR/L
• Kimberline Geanelle Clark, M.A., CCC-SLP

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.