Gregory Jack, LPC

ActiveIndividual ProviderProfessional Counselor
NPI issued: October 3, 2006

Quick Facts

NPI Number
1164517512
TypeIndividual
StatusActive
SpecialtyProfessional Counselor
Taxonomy101YP2500X — Professional Counselor
Phone
(860) 564-3015
StateCT

NPI Validation Status: Verified

Valid 10-digit NPI number (1164517512)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 3, 2006)
Data source: CMS NPPES

Provider Overview

GREGORY JACK, LPC is a Professional Counselor provider based in Plainfield, CT who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1164517512
Provider TypeIndividual Provider
GenderMale
CredentialLPC
StatusActive
Enumeration DateOctober 3, 2006

Practice Location

CityPlainfield
StateCT
ZIP Code06374
Phone(860) 564-3015

Specialties & Licenses

★ Primary
SpecialtyProfessional Counselor
Taxonomy Code101YP2500X
License StateCT

Mailing Address

CityPlainfield
StateCT
ZIP Code06374
Phone(860) 564-3015
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1164517512 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1164517512for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1164517512 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Professional Counselor

Professional Counselors provide individual, family, or group therapy to help clients resolve personal, social, career, or clinical mental health challenges.

📊
143,600
Professional Counselor Providers in the US

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People Also Ask

What is Gregory Jack's NPI number?
Gregory Jack's NPI number is 1164517512, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Gregory Jack's NPI currently active?
Yes, Gregory Jack's NPI status is Active as of the latest CMS NPPES database updates.
What does Gregory Jack specialize in?
Gregory Jack specializes in Professional Counselor. The healthcare taxonomy code associated with this specialty is 101YP2500X.
Where does Gregory Jack practice?
Gregory Jack practices in Plainfield, CT 06374.
When was Gregory Jack's NPI issued?
Gregory Jack's NPI was issued on October 3, 2006.
What is Gregory Jack's provider type?
Gregory Jack is registered as an Individual Provider under CMS NPI Type 1.