JENNA STACK (NPI# 1174099790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099790 |
| Entity Type | Individual |
| Full Name | JENNA STACK |
| Credential | LPC-A, LCAS-A, NCC |
| Practice Address |
1912 Eastchester Dr Ste 204 High Point NC 27265-3505 |
| Mailing Address |
850 Granville Dr Winston Salem NC 27101-5708 |
| Practice Telephone | 3368849510 |
| Mailing Telephone | 3367052503 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-24745 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A14431 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1912 EASTCHESTER DR STE 204 |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27265-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053482927 | Laura Taylor | Counselor | 1912 Eastchester Dr Ste 204, High Point, NC 27265 | 2006-11-13 |
| 1306331244 | New Day High Point | Counselor | 1912 Eastchester Dr Ste 204, High Point, NC 27265-3505 | 2018-06-23 |
| 1407929763 | Cheri Henry | Counselor | 1912 Eastchester Dr Ste 204, High Point, NC 27265-3505 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066985 | Rowanty N. Jenkins | Registered Nurse | 4305 Holstein Drive, High Point, NC 27265 | 2020-09-02 |
| 1407355704 | Triad Pediatrics, PC | Pediatrics | 2754 Hwy 68, Suite 111, High Point, NC 27265 | 2018-02-02 |
| 1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
| 1992235642 | Gina Cobb Davis | Registered Nurse | 2215 Hickswood Rd., High Point, NC 27265 | 2017-06-15 |
| 1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
| 1730530510 | Safe Living Solutions | Contractor | 2209 Eastchester Dr., Ste 109, High Point, NC 27265 | 2016-06-23 |
| 1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
| 1093143489 | Debbie Schmitz | Specialist | 801 Lindsay St. Suite E, High Point, NC 27265 | 2013-10-22 |
| 1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in zip 27265 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396541 | Nosaba Naveed | Counselor | 1589 Skeet Club Rd Ste 102-224, High Point, NC 27265-8817 | 2020-01-29 |
| 1891333670 | Krista Johnson | Counselor | 155 Northpoint Ave Ste 201, High Point, NC 27262-7723 | 2019-12-12 |
| 1932662020 | Casey Taylor West | Counselor | 308 Boulevard St, High Point, NC 27262-3802 | 2019-04-07 |
| 1831613991 | Joan Lawrence | Counselor | 1400 Eastchester Dr Ste 105a, High Point, NC 27265-2669 | 2017-07-31 |
| 1285023218 | Cathy Gayle Cole | Counselor | 3839 Johnson St Unit B, High Point, NC 27265-1374 | 2015-01-14 |
| 1235547035 | Nikeita Mcdonald-constantine | Counselor | 1230 Turtle Rock Way Apt 2f, High Point, NC 27265-7487 | 2014-07-25 |
| 1023431699 | Cathy Pickett | Counselor | 2007 Briarcliff Dr, High Point, NC 27265-2428 | 2014-02-01 |
| 1598106171 | Cynthia R Jones | Counselor | 1230 Glenstone Trl, 2h, High Point, NC 27265-6011 | 2013-07-11 |
| 1871843151 | Enjonae Anderson | Counselor | 620 E Lexington Ave, High Point, NC 27262-2755 | 2012-09-14 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27265 |
Please comment or provide details below to improve the information on JENNA STACK.
| 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.