MR. JACK L ELLERBE JR. MSW, LCAS
NPI 1073185245
Counselor - Addiction (Substance Use Disorder) in Gold Hill, NC

Q: What is Jack Ellerbe's NPI number?

The NPI number for Jack Ellerbe is 1073185245. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Jack Ellerbe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Ellerbe was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 15, 2021

665 TIMBER TRL, GOLD HILL, NC 28071(704) 279-1199(704) 279-7668 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 9, 2024, Jul 15, 2021 (2 updates tracked since 2021).

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About Mr. Jack L Ellerbe Jr. Msw, Lcas NPPES

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

MR. JACK L ELLERBE JR. MSW, LCAS (NPI 1073185245) is an individual addiction (substance use disorder) provider in Gold Hill, North Carolina and active in the NPI registry since July 2021. He maintains a secondary practice location in Stanley.

NPPES Registry Identity

NPI1073185245

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. JACK L ELLERBE JR.Credential: MSW, LCAS

Location Address665 TIMBER TRLGold Hill, NC 28071-7500

Mailing AddressPo Box 259Gold Hill, NC 28071-0259 · (704) 279-1199 · Fax (704) 279-7668

Phone(704) 279-1199

Fax(704) 279-7668

Sole ProprietorYes

Enumeration DateJuly 15, 2021

Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2024

✔ NPI 1073185245 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

665 TIMBER TRL, Gold Hill, NC 28071

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Secondary Practice Location 1

Location 1106 W Dallas RdStanley, NC 28164-2103 · Phone (980) 416-3025

Other Providers at the Same Location NPPES

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

WILLIAM DONOVAN MILLER LCSWA

Counselor (Mental Health)

665 TIMBER TRL
GOLD HILL, NC 28071

Rowan County (704) 279-1199

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 Ellerbe's NPI number?

The NPI number for Jack Ellerbe is 1073185245. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Jack Ellerbe located?

Jack Ellerbe practices at 665 Timber Trl, Gold Hill, NC 28071. The listed phone number is (704) 279-1199.

What is Jack Ellerbe'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 Ellerbe was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.