Jessica Clark

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41775 Issued in OH

Practice address

3428 W Market St
Fairlawn, OH 44333-3339

Phone

(330) 668-4041

NPI assigned

Feb 14, 2023

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

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 and National Provider Directory roles.

• Insight Behavioral Consulting

  • Behavior Analyst
  • Westlake, OH
  • NPI 1871129106
  NPD
• Insight Psychiatric Clinic LLC

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1376311431
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1659078285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HAMPSHIRE RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334240",
            "telephone_number": "740-238-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333339",
            "telephone_number": "330-668-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "896 Corporate Way",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451502",
            "country_code": "US",
            "telephone_number": "740-238-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Adelbert St",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171702",
            "country_code": "US",
            "telephone_number": "440-568-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-20-41775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Angels Residential, LLC
• Circulatory Center of Akron, Inc.
• City of Fairlawn
• Ashlee Clark
• Danielle Sheniece Clark, LPCC-S
• Tara Clark, LDO
• Tracy Denise Clark
• Solomon Clemens
• Cleo'S Care LLC
• Joanna K Cline, PCC

• Behavior Analyst in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.