Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134694953 Individual Practitioner Male Practitioner

Jim Clark

Counselor • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Jim Clark is a registered healthcare professional specializing in Counselor in Lacey, WA. Practice services are available at 612 WOODLAND SQUARE LOOP SE STE 401 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 Woodland Square Loop Se Ste 401

Lacey, WA 985031070

Telephone 3607635828
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lacey, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
45 Specialists

Practicing in Lacey, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA SC60907499

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
James Dahl

Peer Specialist

NPI 1003645854
Heather Lurz

Case Manager/Care Coordinator

NPI 1003778770
Amber Burgess

Counselor - Mental Health

NPI 1023744299
Cassidy Meyer

Counselor - Mental Health

NPI 1023753977
Nicholas Graham

Peer Specialist

NPI 1023778982
Aaron Wittenberg

Peer Specialist

NPI 1033861216

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 19, 2018

Registered at 612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 985031070 (Tel: 3607635828)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Counselor (License #SC60907499 in WA)

NPI Profile Active October 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2018

Registered at 9330 59TH AVE SW, LAKEWOOD, WA 984992858 (Tel: 2535817020)

📍
Updated Business Mailing Address October 08, 2018

Registered at 7529 BRIANNA CT SE, OLYMPIA, WA 985135302 (Tel: 2533155124)

👤
Provider Name / Credentials Updated October 08, 2018

Recorded as JIM CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2018

Social Worker

🟢
Initial NPI Registration & Enumeration October 08, 2018

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: 1134694953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2018
Last Update: December 19, 2018
Sole Proprietor: No

Mailing Address

7529 Brianna Ct Se

Olympia, WA 985135302

Phone: 2533155124

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.