JACK C LEWIS JR. (NPI# 1720479900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720479900 |
| Entity Type | Individual |
| Full Name | JACK C LEWIS JR. |
| Practice Address |
4120 Hackmore Loop Irving TX 75061 |
| Practice Telephone | 6822194200 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2016-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396013413 | Jack Covington Lewis | General Practice | 1100 Woodland Rd, Salisbury, MD 21801-6730 | 2011-12-03 |
| 1629399100 | Jack Bernard Lewis Jr. | Social Worker | 102 Landing Dr, Woodbury, NJ 08096-6845 | 2010-06-18 |
| 1790780641 | Jack William Lewis | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2005-06-16 |
| 1881168789 | Jack Lewis | Student in an Organized Health Care Education/Training Program | 201 Reinhardt Dr, Lafayette, LA 70506-4252 | 2019-01-14 |
| 1568470433 | Jack Dennis Lewis | Dentist | 1770 E Lambert Rd, #220, Brea, CA 92821-8005 | 2006-08-04 |
| 1396706487 | Jack Byron Lewis | Urology | 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504-5589 | 2006-03-29 |
| Street Address |
4120 HACKMORE LOOP |
| City | IRVING |
| State | TX |
| Zip Code | 75061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| 1104147982 | John Yaft | Internal Medicine | 2001 Macarthur Blvd, Suite 520, Irving, TX 75061 | 2010-06-16 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237075 | Llewellyn Shields Morgan | Counselor | 1713 Cypress Dr, Irving, TX 75061-2349 | 2019-04-21 |
| 1740754670 | Danielle Moreno | Counselor | 3636 N Macarthur Blvd Ste 160, Irving, TX 75062-3601 | 2019-01-14 |
| 1629578133 | Bree Bozeman | Counselor | 612 N Story Rd Ste 101, Irving, TX 75061-6764 | 2018-02-20 |
| 1669919627 | Natasha Glass | Counselor | 7306 Parkridge Blvd Apt 106, Irving, TX 75063-8354 | 2017-01-27 |
| 1427455955 | Benjamin Mooney | Counselor | 6913 State Highway 161, #325-2, Irving, TX 75039-2432 | 2014-11-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1588957260 | Robert Lanier | Counselor | 6445 Love Dr Apt 3025, Irving, TX 75039-4097 | 2011-05-27 |
| 1174755235 | Rickey Dovers | Counselor | 1000 N Belt Line Rd, Suite 102, Irving, TX 75061-4069 | 2009-08-21 |
| 1740456805 | Keyven Kardell Moore | Counselor | 3520 Briarcliff Ct N, Irving, TX 75062-3205 | 2008-05-07 |
| 1265643910 | Elizabeth Jimenez | Counselor | 2306 Dewitt St, Irving, TX 75062-4209 | 2007-05-24 |
| Find all providers in IRVING | ||||
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| 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.