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GABRIELLA T JACK NCC, LPC
NPI 1174116248
Counselor - Mental Health in Fairfax, VA

Active since February 18, 2021
9301 SANTAYANA DR, FAIRFAX, VA 22031(571) 502-8362 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gabriella T Jack Ncc, Lpc NPPES

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

GABRIELLA T JACK NCC, LPC (NPI 1174116248) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0701010212) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1174116248
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGABRIELLA T JACKCredential: NCC, LPC
Location Address9301 SANTAYANA DRFairfax, VA 22031-3069
Mailing Address9301 Santayana DrFairfax, VA 22031-3069 · (571) 502-8362
Phone(571) 502-8362
Sole ProprietorYes
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1174116248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701010212
9301 SANTAYANA DR, Fairfax, VA 22031
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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 Gabriella Jack's NPI number?

The NPI number for Gabriella Jack is 1174116248. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Gabriella Jack located?

Gabriella Jack practices at 9301 Santayana Dr, Fairfax, VA 22031. The listed phone number is (571) 502-8362.

What is Gabriella Jack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gabriella Jack was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.