Individual provider Active NPI

Jennifer Alison Clark-Harris, M.S,MED LMHC/LMFT

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1770839748
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10000618 Issued in MA
Practice address
1500 Main Street
8TH Floor, Suite 808
Springfield, MA 01115-1001
Phone
(413) 273-6488
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10000618 MA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LMHC10000618 MA
Adolescent and Children Mental Health Clinic/Center 261QM0855X LMHC10000618 MA
Mental Health Counselor 101YM0800X LMHC10000618
Marriage & Family Therapist 106H00000X LMFT10000092 MA
Adult Mental Health Clinic/Center 261QM0850X LMHC10000618 MA
Addiction (Substance Use Disorder) Counselor 101YA0400X LMHC10000618 MA

Addresses

Primary practice location

1500 Main Street
8TH Floor, Suite 808
Springfield, MA 01115-1001

Mailing address

37 Kay St
Springfield, MA 01109-1310
Phone (413) 273-6488

Other practice location 1

37 Kay St
Springfield, MA 01109-1310
Phone (413) 273-6488

Other names 1

  • Jennifer Alison Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503000937 MA Practitioner - Mental Health Counselor 7416397708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians
River Valley Counseling Center IncGroup PAC ID 4981694999, 57 clinicians

Practice addresses (Care Compare)

120 Boston Rd
Suite 200
Groton, MA 01450-1860
Phone (781) 646-0500

120 Maple St
Springfield, MA 01103-2203
Phone (413) 377-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT10000092MAMDMarriage & Family Therapist
LMHC10000618MAMDAdolescent and Children Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients
River Valley Counseling Center, Inc Mental Health CurrentSince Apr 12, 2024 Accepting new patients
Child and Family Psychological Services, PLLC Mental Health CurrentSince Nov 17, 2025 Accepting new patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

120 Boston Rd
Ste 200
Groton, MA 01450

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

120 Maple St
Ste 304
Springfield, MA 01103
Phone (413) 737-2437

120 Maple St
Springfield, MA 01103
Phone (413) 737-3730

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1770839748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KAY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011091310",
            "telephone_number": "413-273-6488",
            "fax_number": "413-273-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MAIN STREET",
            "address_2": "8TH FLOOR, SUITE 808",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011151001",
            "telephone_number": "413-273-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Kay St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011091310",
            "country_code": "US",
            "telephone_number": "413-273-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK-HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "M.S,MED LMHC/LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000618",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "LMHC10000618",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "LMHC10000618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LMHC10000618",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "LMFT10000092",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "LMHC10000618",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LMHC10000618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CLARK",
            "middle_name": "ALISON",
            "credential": "M.S, MED,LMHC/LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.