Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Michael Clark, MA, MS, LPC, NBCC

Individual provider Professional Counselor · NPI 1831563105

Jonathan Michael Clark, MA, MS, LPC, NBCC is a Professional Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1522B Gregg St
Philadelphia, PA 19115-4283
Phone: (215) 698-1978
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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 PC008486 (PA)
School Counselor Taxonomy 101YS0200X · Licence 9350568 (PA)

Record details

NPI number1831563105
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , MS , LPC , NBCC
Sole proprietorYes
NPI enumeratedNovember 23, 2015
Last updated in NPPESNovember 23, 2015

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