Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972125821 Individual Practitioner Female Practitioner

Jenesis E Clark , LPCC

Counselor • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Jenesis Clark, LPCC is a registered healthcare professional specializing in Counselor in Cincinnati, OH. Practice services are available at 3333 BURNET AVE ML 3015 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 Burnet Ave Ml 3015

Cincinnati, OH 45229

Telephone 5136364336
Fax 5136367756

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
300 Specialists

Practicing in Cincinnati, OH (4163 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-20
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH E.2404016

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License OH E.2404016

Definition to come...

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Heather Harrison , PhD

Psychologist - Clinical Child & Adolescent

NPI 1003318601

Doctor of Philosophy (Ph.D.)

Dr. Sarah Schneider , PhD

Psychologist - Clinical Child & Adolescent

NPI 1013326305

Doctor of Philosophy (Ph.D.)

NPI 1033168521

Doctor of Philosophy (Ph.D.)

Dr. Kristin Rich , PhD

Psychologist - Clinical Child & Adolescent

NPI 1033560677

Doctor of Philosophy (Ph.D.)

Dr. Joanne Carey , PsyD

Psychologist - Forensic

NPI 1043431653

Doctor of Psychology (Psy.D.)

Dr. Rachelle Ramsey , PhD

Psychologist - Clinical Child & Adolescent

NPI 1053867887

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 20, 2024

Registered at 3333 BURNET AVE ML 3015, CINCINNATI, OH 45229 (Tel: 5136364336)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Counselor (License #E.2404016 in OH)

📍
Updated Practice Location February 13, 2024

Registered at 8040 KENWOOD RD, STE 320, CINCINNATI, OH 45236 (Tel: 8888300347)

📍
Updated Business Mailing Address February 13, 2024

Registered at 5556 CLEARVIEW AVE, CINCINNATI, OH 452483216

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location January 22, 2024

Registered at 5630 BRIDGETOWN RD STE 4, CINCINNATI, OH 452484346 (Tel: 8888300347)

👤
Provider Name / Credentials Updated January 22, 2024

Recorded as JENESIS CLARK, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Counselor (License #E.2404016 in OH)

NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2020

Registered at 1501 MADISON RD, WALNUT HILLS, OH 452061706 (Tel: 5133545200)

📍
Updated Business Mailing Address May 14, 2020

Registered at 1501 MADISON RD, WALNUT HILLS, OH 452061706 (Tel: 5133545200)

👤
Provider Name / Credentials Updated May 14, 2020

Recorded as JENESIS CLARK, CT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972125821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: March 20, 2024
Sole Proprietor: Yes

Mailing Address

5556 Clearview Ave

Cincinnati, OH 452483216

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.