Address: 465 W 144th St, New York, NY 10031-4733

JENNIFER ALISON CLARK-HARRIS (NPI# 1770839748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770839748
Entity Type Individual
Other Name JENNIFER ALISON CLARK (Former Name)
Gender Female
Credential M.S., MED.
Other Credential M.S., MED.
Practice Address 465 W 144th St
New York
NY 10031-4733
Practice Telephone 4132149020
Mailing Address 465 W 144th St
New York
NY 10031-4733
Mailing Telephone 4132149020
Enumeration Date 2012-07-27
Last Update Date 2015-11-16
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 465 W 144TH ST
State NY
Zip Code 10031-4733

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1447767058 Sophie Jetta Miller Social Worker - Clinical 507 West 140th Street, #43, New York, NY 10031 2018-01-04
1285277657 Lauren M Diaz Student in an Organized Health Care Education/Training Program 160 Covent Ave, New York, NY 10031 2019-10-18
1093064115 Andrea Carolyn Plasko Social Worker 750 Riverside Dr Apt 6g, New York, NY 10031 2012-09-05
1699329144 Dianna Rosario Registered Nurse 640 Riverside Drive, New York, NY 10031 2019-08-01
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1356741292 Dena Michelle Joseph Psychologist - Clinical 160 Convent Avenue, City College of New York Counseling Center, New York, NY 10031 2014-08-28
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Zip Code 10031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.