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Active NPI 1356673263 Individual Practitioner Female Practitioner

Jacquelyn J Clark , MS, CADC II, LPC

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Jacquelyn Clark, MS, CADC II, LPC is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 2577 NE COURTNEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2577 Ne Courtney Dr

Bend, OR 977017638

Telephone 5413227500
Fax 5413227565
Associated Practice Facility / Clinic
🏢 Deschutes County Oregon Facility NPI 1023056017

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
214 Specialists

Practicing in Bend, OR (2601 Statewide)

Telehealth Adoption Rate
4.7% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C2957

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 11-06-99

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Anne Remsen , BA

Counselor - Mental Health

NPI 1003064973

Bachelor of Arts

Joanne White

Counselor - Mental Health

NPI 1003101395
Marissa Inman

Counselor - Mental Health

NPI 1003367459
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836
Heather Welker , OT

Occupational Therapist

NPI 1003949140

Occupational Therapist

Tania Kneuer , OTL ASDCS

Occupational Therapist - Mental Health

NPI 1013064633

OTLASDCS

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2013

Registered at 2577 NE COURTNEY DR, BEND, OR 977017638 (Tel: 5413227500)

📍
Updated Business Mailing Address September 13, 2013

Registered at 2577 NE COURTNEY DR, BEND, OR 977017638 (Tel: 5413227500)

👤
Provider Name / Credentials Updated September 13, 2013

Recorded as JACQUELYN CLARK, MS, CADC II, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2013

Counselor (License #11-06-99 in OR)

🟢
Initial NPI Registration & Enumeration February 02, 2010

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: 1356673263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2010
Last Update: September 13, 2013
Sole Proprietor: No

Mailing Address

2577 Ne Courtney Dr

Bend, OR 977017638

Phone: 5413227500

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.