JACOB SLAGLE (NPI# 1154965879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154965879 |
| Entity Type | Individual |
| Full Name | JACOB SLAGLE |
| Practice Address |
134 Infield Ct Mooresville NC 28117-8026 |
| Practice Telephone | 7047996824 |
| Practice Fax Number | 7047996825 |
| Mailing Telephone | 7047996824 |
| Mailing Fax Number | 7047996825 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A15353 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2102 Cambridge Beltway Dr Ste E, Charlotte, NC 282734354 | 7047996824 | 7047996825 |
| 129 Woodson St, Salisbury, NC 281443255 | 7047996824 | 7047996825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942574793 | Jacob Austin Slagle | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2012-02-25 |
| Street Address |
134 INFIELD CT |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497903702 | Mary Alice Lowrance | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2008-08-29 |
| 1962010710 | Carley Barbara Clayman | Speech-Language Pathologist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2020-07-17 |
| 1740815703 | Madison Morris | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2020-03-10 |
| 1477187938 | Lauren Sunter | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2020-02-24 |
| 1861030330 | Ashley Weisenberger Bailey | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2019-12-16 |
| 1487291530 | Amy Smith | Physical Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2019-12-09 |
| 1548804446 | Nicole Pappalardo | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2019-11-04 |
| 1962058131 | Jamie Difrank | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2019-08-14 |
| 1770135436 | Kristina Ebert | Speech-Language Pathologist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2019-07-12 |
| 1629620596 | Chelsea Joy Reeves | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984476 | Beatties Ford Road Vocational Trade Center | Counselor | 237 Dry Dock Loop, Mooresville, NC 28117-8054 | 2020-05-27 |
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1770139842 | Diana Cristina Moscoso | Counselor | 166 Glenn Allen Rd, Mooresville, NC 28115-5808 | 2019-08-14 |
| 1184121592 | Therapy To Inner Peace - Center | Counselor | 2987 Charlotte Hwy, Mooresville, NC 28117-8052 | 2018-04-11 |
| 1972998938 | Ashley Bagwell | Counselor | 542 Williamson Rd Ste 6, Mooresville, NC 28117-9138 | 2015-04-06 |
| 1215337258 | April Rorabaugh | Counselor | 114 Morlake Dr, Mooresville, NC 28117-9208 | 2014-08-27 |
| 1578815296 | Taryn Sweeting | Counselor | 125 Overhill Dr Ste 105, Mooresville, NC 28117-8232 | 2012-10-04 |
| 1821355405 | Dishema S. Shuler | Counselor | 136 Mangum Cir, Mooresville, NC 28117-6916 | 2012-04-19 |
| 1033490404 | Pinnacle Performance Inc. | Counselor | 816 Brawley School Rd Ste F1, Mooresville, NC 28117-6202 | 2011-08-30 |
| 1215130760 | Rebecca H Rader | Counselor | 664 Brawley School Rd, Mooresville, NC 28117-9121 | 2007-06-11 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on JACOB SLAGLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.