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

Individual provider Professional Counselor · NPI 1902385875

Jessica Ilo Clark, LPC, NCC is a Mental Health Counselor in Simpsonville, South Carolina. Qualified in 2012, 14 years ago. Practices with South Carolina Dept of Mental Health Accounting Office, a 231-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone: (864) 963-3421
Fax: (864) 962-0758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 591 Gas Plant Rd, Moore, SC 29369-9424 — (602) 354-1562

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8125 (SC)

Record details

NPI number1902385875
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC
Sole proprietorNo
NPI enumeratedAugust 10, 2018
Last updated in NPPESAugust 20, 2023
Certification dateAugust 20, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice South Carolina Dept Of Mental Health Accounting Office — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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