CHERYL JACK (NPI# 1861913469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861913469 |
| Entity Type | Individual |
| Full Name | CHERYL JACK |
| Credential | LCDC |
| Practice Address |
3201 Fm 2004 Rd Texas City TX 77591-2199 |
| Mailing Address |
3222 Rippling Falls Ln Dickinson TX 77539-6175 |
| Practice Telephone | 4099444399 |
| Mailing Telephone | 4093706482 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13802 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969028 | Cheryl Jack | Registered Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2017-01-30 |
| 1689906596 | Cheryl A Jack | Community Health Worker | 3100 Channel Dr # 314, Juneau, AK 99801-7837 | 2010-02-02 |
| 1750327904 | Cheryl Bellanca Jack | General Practice | 812 E Jolly Rd, Ste G12, Lansing, MI 48910-6818 | 2006-06-22 |
| Street Address |
3201 FM 2004 RD |
| City | TEXAS CITY |
| State | TX |
| Zip Code | 77591-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306266424 | Andrea Dawn Cooper | Counselor | 3201 Fm 2004 Rd, Texas City, TX 77591-2199 | 2014-04-17 |
| 1629571708 | Kristin R Barrs | Counselor | 3201 Fm 2004 Rd, Texas City, TX 77591-2199 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231383 | Sungryeong Torres | Physician Assistant | 1501 N Amburn Road, Suite 9, Texas City, TX 77591 | 2020-09-30 |
| 1386294668 | P & P Care Pllc | Family Medicine | 8901 Ef Lowry Expwy, Ste B, Texas City, TX 77591 | 2019-09-18 |
| 1972067718 | Primary & Palliative Home Care, Pllc | Internal Medicine | 8901 Emmett Lowry Expwy Suite A, Texas City, TX 77591 | 2019-01-25 |
| 1467827865 | Jija Varghese | Nurse Practitioner | 9850-c Emmett F.lowry Expy, Texas City, TX 77591 | 2015-12-10 |
| 1124401716 | University of Texas Medical Branch At Galveston | Technician/Technologist | 10121 Emmett Lowry Expressway, Texas City, TX 77591 | 2015-07-01 |
| 1598168619 | Haley Louise Mccabe | Physician Assistant | 9850c Emmett F Lowry Expy Ste C, Texas City, TX 77591 | 2014-10-02 |
| 1710327978 | Houston Optic, Pllc | Eyewear Supplier (Equipment, not the service) | 7111 Medical Center Dr Ste 110, Texas City, TX 77591 | 2013-07-02 |
| 1851619449 | Rhea Heidi Balce Balitbit | Family Medicine | 7111 Medical Center Dr, Suite 200, Texas City, TX 77591 | 2010-05-07 |
| 1427205947 | Abiola Opabunmi | Nurse Practitioner | 8030 Fm 1765 Ste C-102, Texas City, TX 77591 | 2008-08-27 |
| 1942469408 | Jacqueline Marie Wegge | Surgery | 7111 Medical Center Dr Ste 109, Texas City, TX 77591 | 2008-06-09 |
| Find all providers in zip 77591 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112664 | Heather Allen | Counselor | 1228 N Logan St Ste 100, Texas City, TX 77590-5171 | 2020-04-11 |
| 1912538547 | Ruthie Lee Stark - Redman | Counselor | 9001 Glacier Ave Apt 226, Texas City, TX 77591-3017 | 2020-02-02 |
| 1528621430 | E'shereca Mills | Counselor | 21 Highway 3 N, Texas City, TX 77591-4125 | 2019-04-16 |
| 1013393271 | Angelica Francisca Torres | Counselor | 4325 Emmett F. Lowry Expressway, Texas City, TX 77590 | 2015-08-10 |
| 1306266424 | Andrea Dawn Cooper | Counselor | 3201 Fm 2004 Rd, Texas City, TX 77591-2199 | 2014-04-17 |
| 1508101015 | Michael Ross Hudson | Counselor | 7510 Fm 1765 Bldg 1, Texas City, TX 77591-3672 | 2012-12-10 |
| 1487966776 | Amy Renee Smith | Counselor | 10000 Emmett F Lowry Expy Ste 1220, Texas City, TX 77591-2129 | 2010-07-02 |
| 1962978676 | Kelli Elizabeth Halford | Counselor | 7510 Fm 1765, Texas City, TX 77591-3672 | 2018-10-19 |
| 1689140360 | Christina Jeanette Moor | Counselor | 7510 Fm 1765, Texas City, TX 77591-3672 | 2018-10-19 |
| 1629571708 | Kristin R Barrs | Counselor | 3201 Fm 2004 Rd, Texas City, TX 77591-2199 | 2018-03-14 |
| Find all providers in TEXAS CITY | ||||
| City | TEXAS CITY |
| Zip Code | 77591 |
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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.