Organization Active NPI

Clark Counseling Services

  • Mental Health Counselor
  • Toney, AL
National Provider Identifier
1912877481
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLARK COUNSELING SERVICES
Practice address
9869 Pulaski Pike Ste C
Toney, AL 35773-7201
Phone
(256) 850-4091
Fax
(256) 970-1643
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Jason M Clark, LICSWNPI 1104699586
Title
Owner
Phone
(256) 850-4091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9869 Pulaski Pike Ste C
Toney, AL 35773-7201

Mailing address

9869 Pulaski Pike Ste C
Toney, AL 35773-7201
Phone (256) 850-4091

National Provider Directory

National Provider Directory

Locations

9869 Pulaski Pike
#C
Toney, AL 35773

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1912877481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9869 PULASKI PIKE STE C",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357737201",
            "telephone_number": "256-850-4091",
            "fax_number": "256-970-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 PULASKI PIKE STE C",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357737201",
            "telephone_number": "256-850-4091",
            "fax_number": "256-970-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-850-4091",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toney, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.