Individual provider

Jacalyn Clark, LPC

Mental Health Counselor

Jacalyn Clark, LPC is a Mental Health Counselor in Southport, CT, registered under NPI 1093673121. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 255 HALF MILE RD, Southport, CT 06890. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

255 HALF MILE RD, Southport, CT 06890 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9373 CT Mental Health Counselor primary

This provider holds licence 9373 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1093673121 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 15, 2026
Last updatedJan 15, 2026
StatusActive
Sole proprietorYes
CredentialLPC
Practice address 255 HALF MILE RD
Southport, CT 06890
(385) 290-5014
This record was updated on Jan 15, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1093673121 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 9 3 6 7 3 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 9 3 3 7 6 1 4

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1093673121?
NPI 1093673121 is the National Provider Identifier assigned to Jacalyn Clark, LPC in Southport, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Jacalyn Clark, LPC?
The phone number on file with NPPES is (385) 290-5014, last updated Jan 15, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1093673121 a valid number?
Yes. 1093673121 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.