Jill Clark, BA MS LPC - Counselor in West Carrollton, OH

Jill Clark, BA MS LPC is a Counselor based in West Carrollton, Ohio. Jill Clark is licensed to practice in Ohio (license number C-5998) and her current practice location is 1170 E Central Ave, West Carrollton, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 865-9061.

NPI number for Jill Clark is 1568684777 and her current mailing address is 1210 Berna Ln, Kettering, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568684777.

Contact Information

Jill Clark, BA MS LPC
1170 E Central Ave,
West Carrollton, OH 45449-1825
(937) 865-9061
(937) 865-9069

Map and Direction


Healthcare Provider's Profile

Full NameJill Clark
GenderFemale
SpecialityCounselor
Location1170 E Central Ave, West Carrollton, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568684777
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jill Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568684777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor C-5998 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Clark, BA MS LPC
1210 Berna Ln,
Kettering, OH 45429-5554

Ph: (937) 435-6623
Jill Clark, BA MS LPC
1170 E Central Ave,
West Carrollton, OH 45449-1825

Ph: (937) 865-9061

Reviews and Comments


Counselor in West Carrollton, OH

Jessica D Lane, LPCC-S, LICDC-CS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 113 E Central Ave, West Carrollton, OH 45449
Phone: 937-247-9015    
Holly Elizabeth Welther, LSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1170 E Central Ave, West Carrollton, OH 45449
Phone: 937-865-9061    Fax: 937-865-9069
Misty Potts, CDCA171568
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 436 Enxing Ave, West Carrollton, OH 45449
Phone: 937-867-9733    
Shelley A. Lagano, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 700 Liberty Ln, West Carrollton, OH 45449
Phone: 937-247-2400    
Sahera Washburn, MS LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1170 E Central Ave, West Carrollton, OH 45449
Phone: 937-865-9061    Fax: 937-865-9069
Lauryn Williams,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 700 Liberty Ln, West Carrollton, OH 45449
Phone: 937-247-2400    
Nathanael Bloss, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 700 Liberty Ln, West Carrollton, OH 45449
Phone: 301-675-6494    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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