Jenclark, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JENCLARK, LLC

Practice address

4121 Union Rd Ste 225
Saint Louis, MO 63129-1093

Phone

(314) 730-6787

NPI assigned

May 9, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Clark Penney

Title

Owner/Counselor/Therapist

Phone

(314) 604-4050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1841048345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17035 SANDALWOOD CREEK DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630381541",
            "telephone_number": "314-604-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291093",
            "telephone_number": "314-730-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/COUNSELOR/THERAPIST",
        "authorized_official_telephone_number": "314-604-4050"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iana Petrova Jeliazkova, M.D.
• Grace Jelinek
• Michael Jelinek, PA-C
• Christina Lee Jemerson, AGNP
• Emily Jen, M.D., PH.D.
• Martin D Jendrisak, MD
• Jenec Global Logistic & Insurance LLC
• Keri Noelle Jenkerson, BCBA
• Carolyn Jenkins
• Damithri N Jenkins

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.