Active NPI
Jennifer L Bock
- Counselor
- Fuquay Varina, NC
National Provider Identifier
1063347094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A22410
- Practice address
- PO Box 452
Fuquay Varina, NC 27526-0179 - Phone
- (910) 381-3465
- NPI assigned
- Jun 12, 2026
- Last updated
- Jun 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A22410 | NC | Primary |
Addresses
Primary practice location
PO Box 452
Fuquay Varina, NC 27526-0179
Mailing address
PO Box 452
Fuquay Varina, NC 27526-0179
Phone (910) 381-3465
Other names 1
- Jenn Bock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignitas Counseling | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Fuquay Varina, NC
- NPI 1427964576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1063347094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275260179",
"telephone_number": "910-381-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 452",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275260179",
"telephone_number": "910-381-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCK",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A22410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENN",
"last_name": "BOCK",
"credential": "LCMHCA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.