Jennifer Clark, LCPC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC8672 Issued in ME

Practice address

76 Lincoln Ave
Gardiner, ME 04345-2518

Phone

(207) 441-5141

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1417861865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LINCOLN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452518",
            "telephone_number": "207-441-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 LINCOLN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452518",
            "telephone_number": "207-441-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "credential": "LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01223500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC8672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Burnham
• C&M Consulting and Management
• Liam Callahan, NRP
• John C Campbell
• City of Gardiner (Gardiner Ambulance Service)
• Kara Clukey
• Aurora Correia
• Mary Elizabeth Cusick X, RPH
• Jennifer Dearborn
• Heidi Dellaire

• Mental Health Counselor in Gardiner, ME
• Providers in Gardiner, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.