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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598198954

Jayson Clark, MSMFT, LPC is a Mental Health Counselor in Roseburg, Oregon. Qualified in 2016, 10 years ago. Practices with Adapt, a 43-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2013
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470
Phone: (541) 672-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 140 S Holly St, Medford, OR 97501-3113 — (541) 774-8201
  • 140 S Holly St, Medford, OR 97501-3113 — (541) 774-8201

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C5596 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence T-17-081 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1598198954
Entity typeIndividual (Type 1)
GenderMale
Credentials MSMFT , LPC
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Adapt — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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