Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerry Dean Clark, SUDR, CPC, AAC

Q: What is the NPI number for Jerry Clark?

The National Provider Identifier (NPI) for Jerry Clark is 1497232060, a Type 1 (individual) record in the CMS NPPES registry.

Addiction (Substance Use Disorder) Counselor in Centralia, WA · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497232060

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Registry record

Entity type Individual (Type 1)

Name Jerry Dean Clark

Credential SUDR, CPC, AAC

Sex Male

Practice address 1616 S Gold St Ste 4, Centralia, WA, 98531

Phone (360) 807-4929

Enumeration date Jul 25, 2018

Last updated in NPPES Nov 13, 2020

Taxonomy & licenses

175T00000X Peer Specialist Other Service Providers · License CG60783169 (WA) Secondary

175T00000X Peer Specialist Other Service Providers Secondary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License CP61099597 (WA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jerry Clark?

The National Provider Identifier (NPI) for Jerry Clark is 1497232060, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jerry Clark practice?

The practice location on file with NPPES is in Centralia, WA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-13.