Jewel S Mack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21969 Issued in NC

Practice address

3813 Quiet Creek Cir
Charlotte, NC 28213-2175

Phone

(980) 349-6451

NPI assigned

Oct 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1336015502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 QUIET CREEK CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 QUIET CREEK CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132175",
            "telephone_number": "980-349-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JEWEL",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Peace Macilwinen
• Jodi Schmitt Macisaac, LCSW
• Alayna Marie Mack
• Cipryana Mack, PT
• Jessica Mack, CNM
• Peter Bowman Mack, MD
• Sabrina Mack
• Alyssa Mackay
• Katie Lauren Macken, DDS
• Meredith Lee Mackenzie, M.A. CCC-SLP

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.