AMBER JACK (NPI# 1760082846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760082846 |
| Entity Type | Individual |
| Full Name | AMBER JACK |
| Practice Address |
1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 |
| Practice Telephone | 5402176461 |
| Mailing Telephone | 5402176461 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0701010041 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1000 JEFFERSON ST STE 2C |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24504-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538659669 | Taylor Hiers | Counselor | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2018-05-15 |
| 1164031902 | Geralyn M Fortney | Social Worker | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2020-07-28 |
| 1639795768 | Crystal Miller | Social Worker | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2020-06-24 |
| 1336787936 | Catherine Carrington Oliver | Counselor | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2019-12-13 |
| 1902467103 | Timothy Hirschman | Counselor | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230928 | Lewis Medical Transport LLC | Non-emergency Medical Transport (VAN) | 108 Carnell Lane, Lynchburg, VA 24504 | 2019-11-25 |
| 1477048973 | Ptc Wellness Centers Bwxt | Family Medicine | 1570 Mt. Athos Rd., Lynchburg, VA 24504 | 2018-06-27 |
| 1942702824 | Esther Charles Jacob | Pharmacist | 800 Fifth Street, Lynchburg, VA 24504 | 2018-03-06 |
| 1295241123 | Denise Marie Ditto | Counselor | 1900 Tate Springs Rd Suite 3, Lynchburg, VA 24504 | 2017-12-14 |
| 1689103426 | Central Virginia Alliance for Community Living, Inc. | Registered Nurse | 501 12th Street, Suite A, Lynchburg, VA 24504 | 2017-06-06 |
| 1780058628 | Community Access Network | Clinic/Center | 800 5th Street Suite A, Lynchburg, VA 24504 | 2015-11-16 |
| 1053716233 | Danielle Kelly Foltz | Nurse Practitioner | Johnson Health Center, 320 Federal Street, Lynchburg, VA 24504 | 2014-10-30 |
| 1013215441 | Erika Gioia Theodorides | Counselor | 1000 Jefferson St., Suite 2c, Lynchburg, VA 24504 | 2011-03-09 |
| 1326211616 | Jesse Calloway's Family Services | Exclusive Provider Organization | 1129 Cosby St, Lynchburg, VA 24504 | 2008-04-08 |
| 1366624108 | Lynchburg Dept Social Svs | Social Worker | 99 9th Street, Lynchburg, VA 24504 | 2007-12-04 |
| Find all providers in zip 24504 | ||||
| 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 |
|---|---|---|---|---|
| 1700410487 | Whitaker Counseling, LLC | Counselor | 137 Laxton Rd Ste 200, Lynchburg, VA 24502-5294 | 2020-03-03 |
| 1366906083 | Farrr Foundation | Counselor | 1310 Church St, Lynchburg, VA 24504-4604 | 2019-01-27 |
| 1538689401 | Robert Michael Anderson | Counselor | 434 Graves Mill Rd Ste 1, Lynchburg, VA 24502-5398 | 2017-06-22 |
| 1003361528 | Latasha Nicole Hubbard | Counselor | 233 Stoneridge St, Lynchburg, VA 24501-5445 | 2016-08-25 |
| 1033662903 | Samuel Laprade | Counselor | 8022 Timberlake Rd, Unit 43, Lynchburg, VA 24502-2643 | 2016-07-27 |
| 1629439674 | Timothy Lee Burnette | Counselor | 5900 Quaker Pkwy, Lynchburg, VA 24502-1918 | 2016-03-17 |
| 1669831517 | T.c. Daniels II | Counselor | 1129 Ardmore Dr, Lynchburg, VA 24501-2200 | 2016-02-22 |
| 1952760746 | Allison Moore | Counselor | 3425 Summerville St, Lynchburg, VA 24503-1344 | 2016-02-22 |
| 1134588080 | Latoya Harris | Counselor | 15 Hobbs Ln, Lynchburg, VA 24502-4977 | 2016-02-21 |
| 1043614993 | Jacklyn Lowery | Counselor | 5243 Mcknight Road, Lynchburg, SC 29080 | 2014-10-21 |
| Find all providers in LYNCHBURG | ||||
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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.