James Jacob Clark, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701013896 Issued in VA

Practice address

12351 Dutton Rd Apt 1418
Midlothian, VA 23113-4415

Phone

(571) 206-8137

NPI assigned

Jul 18, 2022

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacob Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jacob Clark Psychotherapy Group

  • Mental Health Counselor
  • Midlothian, VA
  • NPI 1487535373
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1487389250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 DUTTON RD APT 1418",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134415",
            "telephone_number": "718-249-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 DUTTON RD APT 1418",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134415",
            "telephone_number": "571-206-8137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 S Albion St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224041",
            "country_code": "US",
            "telephone_number": "571-206-8137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMES",
        "middle_name": "JACOB",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0022808",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "CLARK",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laura Cilla, DPT
• Christopher Cios, D.D.S.
• Craig Clamp
• Aaron David Clampitt
• Andrew Byler Clark
• Jennifer Diane Clark, MD
• Donna Celene Clarke, PMHNP
• Keith Weathers Clarke, RPH
• Sharon J Clarke, FNP
• Christine Cleary

• Mental Health Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.