Jesse Wayne Clark, LPCC
Specialty details in registry · Dayton, OH
At a glance
65 Grady Ct, Dayton, OH 45409
NPPES record updated Feb 24, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
65 Grady CtDayton, OH 45409
Additional reported practice locations
65 Grady CtDayton, OH 454091151
Phone: 9374164031 30 Overbrook Dr Ste C
Monroe, OH 450501168
Phone: 5135395250
Fax: 5135395371 65 Grady Ct
Dayton, OH 454091151
Phone: 9374164031
Education & affiliations
No matching clinician background record in the imported CMS release.
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 101YP2500X
- Enumeration date
- Oct 24, 2013
- Record updated
- Feb 24, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- LPCC
Reported taxonomies and licenses
101YP2500X · Primary
License reported: E.1600066 OH
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
65 Grady CtDayton, OH 45409
- Phone
- (937) 416-4031
Mailing address
5400 EDALBERT DRCINCINNATI, OH 452397604
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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