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

Mrs. Jessica Clark, MA

Individual provider Mental Health Counselor · NPI 1063140465

Mrs. Jessica Clark, MA is a Mental Health Counselor in Elkhart, Indiana. Qualified in 2023, 3 years ago. Practices with Heart City Health Center Inc, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

59466 County Road 113
Elkhart, IN 46517-3644
Phone: (574) 830-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063140465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedAugust 12, 2022
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Heart City Health Center Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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