Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jay K Clark, LPC, LPCC

Individual provider Professional Counselor · NPI 1790962561

Jay K Clark, LPC, LPCC is a Mental Health Counselor in LA Crosse, Wisconsin. Qualified in 2001, 25 years ago. Practices with Peace of Mind Counseling LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
25
Licensed in
MN, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

115 5th Ave S Ste 507
LA Crosse, WI 54601-9200
Phone: (608) 797-5679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3814-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence CC00106 (MN)

Record details

NPI number1790962561
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LPCC
Sole proprietorNo
NPI enumeratedJanuary 23, 2008
Last updated in NPPESAugust 30, 2013
Mailing address115 5th Ave S, Suite 507, La Crosse, WI 54601-9200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Peace Of Mind Counseling Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Crosse