James M Jack LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JAMES M JACK LPC, LLC

Practice address

1201 Philadelphia Pike
Wilmington, DE 19809-2042

Phone

(302) 798-4400

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James M Jack Jr., LPCMHNPI 1235799933

Title

Owner

Phone

(570) 878-4732

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Marvin Jack Jr., LPC

  • Professional Counselor
  • Wilmington, DE
  • NPI 1235799933
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1023667177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ANITA CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PHILADELPHIA PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092042",
            "telephone_number": "302-798-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M JACK LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-878-4732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateusz Jaje, LPCMH
• Jakeeva Major Jakeeva Major
• Robert Anselmo Jakubowski, M.D.
• James B. Salva, M.D., P.a.
• James C Baker Jr DDS PA
• James M. Ritter, M.D., P.a.
• Chelsea James
• Christopher James, PHARM.D.
• Leah James
• Mian Zarshawn Habib Jan

• Professional Counselor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Professional Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.