Jesse Tyler Mack, LPC - Counselor in Clinton, LA

Jesse Tyler Mack, LPC is a Counselor - Professional based in Clinton, Louisiana. Jesse Tyler Mack is licensed to practice in Louisiana (license number 6784) and his current practice location is 11990 Jackson St, Clinton, Louisiana. He can be reached at his office (for appointments etc.) via phone at (225) 683-5292.

NPI number for Jesse Tyler Mack is 1417308594 and his current mailing address is Po Box 395, Clinton, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417308594.

Contact Information

Jesse Tyler Mack, LPC
11990 Jackson St,
Clinton, LA 70722
(225) 683-5292
(225) 683-1310

Healthcare Provider's Profile

Full NameJesse Tyler Mack
GenderMale
SpecialityCounselor - Professional
Location11990 Jackson St, Clinton, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417308594
  • Provider Enumeration Date: 06/29/2016
  • Last Update Date: 10/31/2019

Medical Identifiers

Medical identifiers for Jesse Tyler Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417308594NPI-NPPES
6784OtherLASTATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (Louisiana)Secondary
101YP2500XCounselor - Professional 6784 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Tyler Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesse Tyler Mack, LPC
Po Box 395,
Clinton, LA 70722-0395

Ph: (225) 683-5292
Jesse Tyler Mack, LPC
11990 Jackson St,
Clinton, LA 70722

Ph: (225) 683-5292

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› Verified 3 days ago


Counselor in Clinton, LA

Leemarie M Spatafora, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 11990 Jackson St, Clinton, LA 70722
Phone: 225-683-5292    Fax: 225-683-3411
Mrs. Shantele Angela Butler, LPC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11990 Jackson St, Clinton, LA 70722
Phone: 225-683-5292    Fax: 225-683-3411
Kelsey B Hoopes, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11990 Jackson St, Clinton, LA 70722
Phone: 225-683-5292    Fax: 225-683-3411
Jasper Caine,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 10105 Plank Rd Ste A, Clinton, LA 70722
Phone: 225-244-7026    
Barbara Ann Droy,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 10105 Plank Rd Ste A, Clinton, LA 70722
Phone: 225-244-7026    
Kimberly Hughes,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 10105 Plank Rd Ste A, Clinton, LA 70722
Phone: 225-244-7026    
Miss Ashley Claire Huntington, MA, PLPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1706 Highway 63, Clinton, LA 70722
Phone: 985-707-3133    

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