Jacob Clark Psychotherapy Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JACOB CLARK PSYCHOTHERAPY GROUP

Practice address

12351 Dutton Rd Apt 1418
Midlothian, VA 23113-4415

Phone

(571) 206-8137

NPI assigned

Sep 9, 2025

Organization subpart

No

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

Authorized official

Name

James Jacob Clark, LPCNPI 1487389250

Title

President/Practice Owner

Phone

(571) 206-8137

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Jacob Clark, LPC

  • Mental Health Counselor
  • Midlothian, VA
  • NPI 1487389250
  NPD Authorized official

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1487535373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14319 SHELTER COVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122240",
            "telephone_number": "571-206-8137"
        },
        {
            "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": {
        "organization_name": "JACOB CLARK PSYCHOTHERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/PRACTICE OWNER",
        "authorized_official_telephone_number": "571-206-8137",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1487389250",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "0022808",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Mark Oshea Inc
• Clayton Jackson
• Jordan Aaron Jackson, M.D.
• Justice Jackson
• Kristen Marshelle Jackson
• Jade's Healing Grove
• Jame T Rickman IV DDS PC
• James River Dermatology PLLC
• James River Internists LLC
• James River Pediatrics PC

• 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.