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JACKIE M BUTLER CCS
NPI 1033237961
Counselor - Addiction (Substance Use Disorder) in High Point, NC

Active since March 27, 2007
5209 W WENDOVER AVE, HIGH POINT, NC 27265(336) 812-8645(336) 812-8652 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie M Butler Ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE M BUTLER CCS (NPI 1033237961) is an individual addiction (substance use disorder) provider in High Point, North Carolina, licensed in North Carolina (153) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1033237961
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE M BUTLERCredential: CCS
Location Address5209 W WENDOVER AVEHigh Point, NC 27265-9177
Mailing Address1404 Heatherbrook DrHigh Point, NC 27265-9515 · (336) 880-0642
Phone(336) 812-8645
Fax(336) 812-8652
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1033237961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 153
5209 W WENDOVER AVE, High Point, NC 27265
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Other Identifiers 1

Medicaid6110523NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHERITIA TIJUANA FAULCON MD
Psychiatry & Neurology (Psychiatry)
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
JASMIN RENEE' FLOWERS LCSW, LCASA
Social Worker (Clinical)
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
DAYMARK RECOVERY SERVICES INC
Substance Abuse Rehabilitation Facility
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (704) 939-1100
QUEEN ELIZABETH GOOCH MS, NCC, LPCA
Counselor (Professional)
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
BRIDGEWAY BEHAVIORAL HEALTH, INC.
Substance Abuse Rehabilitation Facility
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 845-3988
PHYLLIS LOVETTE RUFF LPN
Licensed Practical Nurse
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
MS. CHERYL NEWELL DAVIS LCAS
Counselor (Addiction (Substance Use Disorder))
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 845-4003
GWENDOLYN LUCILLE MAJERUS LCAS
Counselor (Addiction (Substance Use Disorder))
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 845-4021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Butler's NPI number?

The NPI number for Jackie Butler is 1033237961. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Jackie Butler located?

Jackie Butler practices at 5209 W Wendover Ave, High Point, NC 27265. The listed phone number is (336) 812-8645.

What is Jackie Butler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Butler was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.