Active NPI
Jessica Clark
- Professional Counselor
- Westminster, MD
National Provider Identifier
1316866940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGA3450
- Practice address
- 200 Surrey CT
Westminster, MD 21157-6528 - Phone
- (410) 596-9821
- NPI assigned
- Jul 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGA3450 | MD | Primary |
Addresses
Primary practice location
200 Surrey CT
Westminster, MD 21157-6528
Mailing address
1004 Littlestown Pike Ste C
Westminster, MD 21157-3027
Phone (717) 465-0943
Other practice location 1
1004 Littlestown Pike Ste C
Westminster, MD 21157-3027
Phone (717) 465-0943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We All Rise Mental Health Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Westminster, MD
- NPI 1336919117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1316866940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 LITTLESTOWN PIKE STE C",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211573027",
"telephone_number": "717-465-0943",
"fax_number": "443-952-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SURREY CT",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576528",
"telephone_number": "410-596-9821"
}
],
"practiceLocations": [
{
"address_1": "1004 Littlestown Pike Ste C",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211573027",
"country_code": "US",
"telephone_number": "717-465-0943",
"fax_number": "443-952-2710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGA3450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.