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JACK K HARTLEY
NPI 1073158408
Counselor - Addiction (Substance Use Disorder) in Jamestown, ND

Active since November 08, 2019
520 3RD ST NW, JAMESTOWN, ND 58401(701) 253-6300 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack K Hartley NPPES

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

JACK K HARTLEY (NPI 1073158408) is an individual addiction (substance use disorder) provider in Jamestown, North Dakota, licensed in North Dakota (1034-10-1-19A) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1073158408
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK K HARTLEY
Location Address520 3RD ST NWJamestown, ND 58401-2968
Mailing Address520 3rd St NwJamestown, ND 58401-2968 · (701) 253-6300 · Fax (701) 253-6400
Phone(701) 253-6300
Sole ProprietorYes
Enumeration DateNovember 8, 2019
✔ NPI 1073158408 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 ND · 1034-10-1-19A
520 3RD ST NW, Jamestown, ND 58401
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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.

ASHLEY ZABKA
Counselor (Professional)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
MEGGAN MICHELLE SEVERSON LMSW
Social Worker (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
MEGAN CASAVANT CM
Case Manager/Care Coordinator
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
MRS. KAREN J WIDMER
Case Manager/Care Coordinator
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6319
DONNA J REHAK LSW
Social Worker
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6401
CHELSEA MODLIN LSCW
Social Worker (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
NICOLE HEINLE
Specialist
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
JENNIFER DAWN NITSCHKE PSYD
Psychologist (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300

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 Jack Hartley's NPI number?

The NPI number for Jack Hartley is 1073158408. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Jack Hartley located?

Jack Hartley practices at 520 3rd St NW, Jamestown, ND 58401. The listed phone number is (701) 253-6300.

What is Jack Hartley'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 Jack Hartley was last updated on November 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.