Jonathan Pack, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12502 Issued in NC

Practice address

68 Grove St Ste B1
Asheville, NC 28801-3346

Phone

(828) 275-0151

NPI assigned

Oct 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1780134932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GROVE ST STE B1",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013346",
            "telephone_number": "828-275-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 GROVE ST STE B1",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013346",
            "telephone_number": "828-275-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Biltmore Ave Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014541",
            "country_code": "US",
            "telephone_number": "828-281-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACK",
        "first_name": "JONATHAN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12502",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sallie Paar
• Bryan J Pace, D.O.
• Cristina Nathaly Pace, FNP
• Kelly Nicole Pace
• David Andrew Pacholke, M.D.
• Idelle S Packer, PT
• Qendresa Pacolli, LCMHCA
• Sarah Melinda Pacosa, PHARMD
• Hayes Paden, LCMHC
• Breana Padgett

• Professional Counselor in Asheville, NC
• Providers in Asheville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.