REISHA JACK (NPI# 1750856522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750856522 |
| Entity Type | Individual |
| Full Name | REISHA JACK |
| Credential | LPC |
| Practice Address |
1037 Cresthaven Rd Memphis TN 38119-3833 |
| Mailing Address |
2231 Oak Hollow Ln Cordova TN 38016-5206 |
| Practice Telephone | 9016826136 |
| Practice Fax Number | 9016827136 |
| Mailing Telephone | 9012394411 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4412 | TN | Behavioral Health & Social Service Providers |
| Street Address |
1037 CRESTHAVEN RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359463 | William Fleming Mealer | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2005-10-13 |
| 1083136246 | Michaela M Jamieson | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2017-07-10 |
| 1417300070 | Nina Serman | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2016-07-19 |
| 1801191465 | Marchelle Stepherson | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2011-01-12 |
| 1043514847 | Valerie Shaw | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2011-01-07 |
| 1356667190 | Carolyn P Jones | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2010-04-19 |
| 1952502445 | Mealer Psychological,pllc | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2007-05-30 |
| 1891842225 | Tony D. Mcanally | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2007-01-05 |
| 1467515312 | Gay B. Moskowitz | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2006-12-19 |
| 1760544316 | Edward A Wise | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048542 | Opportunities Never End LLC | Counselor | 5629 Falling Bark Dr, Memphis, TN 38134-6671 | 2020-06-22 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1801444872 | Mary Hilgeman Neal | Counselor | 297 Mary Ann Dr, Memphis, TN 38117-2805 | 2019-09-03 |
| 1134695851 | Savannah Burton | Counselor | 895 S Cooper St Ste 12&3, Memphis, TN 38104-5604 | 2018-10-19 |
| 1205301611 | Britney Bryson | Counselor | 4525 Lunsford Dr, Memphis, TN 38125-3284 | 2018-10-11 |
| 1730663063 | Timothy Terry | Counselor | 1714 Monroe Ave, Memphis, TN 38104-3924 | 2018-09-22 |
| 1154801934 | Elizabeth Marie Vigus | Counselor | 1407 Union Ave Ste 805, Memphis, TN 38104-3642 | 2018-08-21 |
| 1316436439 | Mardrey Alicia Wade Kiles | Counselor | 4440 Bishop Hills Dr, Memphis, TN 38128-7427 | 2018-05-03 |
| 1801399191 | Crysta Michelle Nilsson | Counselor | 5118 Park Ave Ste 115, Memphis, TN 38117-5720 | 2018-03-13 |
| 1750897146 | Kelley Goodwin | Counselor | 2023 W Houston Way, Memphis, TN 38139-6933 | 2017-12-20 |
| Find all providers in MEMPHIS | ||||
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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.