Jak Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JAK COUNSELING SERVICES

Practice address

107 Home Trace Cir
Clayton, NC 27520-7848

Phone

(202) 427-8687

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Pritchett

Title

Director

Phone

(202) 427-8687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1306222344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HOME TRACE CIR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207848",
            "telephone_number": "202-427-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HOME TRACE CIR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207848",
            "telephone_number": "202-427-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-427-8687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja De'Shea Jackson, LCSWA
• Erica Boswell Jackson
• Sharon Rena Jackson
• Jacob'S Ladder Childhood Therapy
• Jacqueline Wardrett
• Andre Jakewell
• Jannie'S Ride Inc
• Jason R. Harris DDS, PA
• Thomas Walker Jenkins, PA-C
• Tianrda Jenkins, LCSWA

• Community/Behavioral Health Agency in Clayton, NC
• Providers in Clayton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.