Provider Demographics
NPI:1770839748
Name:CLARK-HARRIS, JENNIFER ALISON (MS,MED LMHC/LMFT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ALISON
Last Name:CLARK-HARRIS
Suffix:
Gender:F
Credentials:MS,MED LMHC/LMFT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ALISON
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MED,LMHC/LMFT
Mailing Address - Street 1:37 KAY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-1310
Mailing Address - Country:US
Mailing Address - Phone:413-273-6488
Mailing Address - Fax:413-273-6488
Practice Address - Street 1:1500 MAIN STREET
Practice Address - Street 2:8TH FLOOR, SUITE 808
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01115-1001
Practice Address - Country:US
Practice Address - Phone:413-273-6488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10000618101YM0800X, 261QM0801X, 261QM0855X, 261QM0850X, 101YA0400X
LMHC10000618101YM0800X
MALMFT10000092106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)