JENNA STACK LCMHC-A, LCAS-A
NPI 1174099790
Counselor - Professional in Winston Salem, NC

Q: What is Jenna Stack's NPI number?

The NPI number for Jenna Stack is 1174099790. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Q: What is Jenna Stack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Stack was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 22, 2018

2806 REYNOLDA RD STE 257, WINSTON SALEM, NC 27106(336) 223-6700 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2022, Feb 9, 2020, Sep 26, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Jenna Stack Lcmhc-a, Lcas-a NPPES

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

JENNA STACK LCMHC-A, LCAS-A (NPI 1174099790) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (A14431) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1174099790

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNA STACKCredential: LCMHC-A, LCAS-A

Location Address2806 REYNOLDA RD STE 257Winston Salem, NC 27106-3102

Mailing Address2806 Reynolda Rd Ste 257Winston Salem, NC 27106-3102 · (336) 223-6700

Phone(336) 223-6700

Sole ProprietorYes

Enumeration DateOctober 22, 2018

Last NPPES UpdateFebruary 18, 20226 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2022

✔ NPI 1174099790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · A14431

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-24745 (NC)

2806 REYNOLDA RD STE 257, Winston Salem, NC 27106

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Jenna Stack's NPI number?

The NPI number for Jenna Stack is 1174099790. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Jenna Stack located?

Jenna Stack practices at 2806 Reynolda Rd Ste 257, Winston Salem, NC 27106. The listed phone number is (336) 223-6700.

What is Jenna Stack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jenna Stack accept?

Health plans from Blue Cross and Blue Shield of NC list Jenna Stack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Stack was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.