MR. JACK RUDY HENLEY CST-LL
NPI 1265909204
Peer Specialist in Turlock, CA

Active since October 29, 2018
2101 GEER RD STE 120, TURLOCK, CA 95382(209) 664-8044(209) 541-2114 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, May 16, 2025, Sep 23, 2024 and 3 more (6 updates tracked since 2018).

About Mr. Jack Rudy Henley Cst-ll NPPES

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

MR. JACK RUDY HENLEY CST-LL (NPI 1265909204) is an individual peer specialist in Turlock, California, licensed in California (MPSS-FHKIAJ) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1265909204
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. JACK RUDY HENLEYCredential: CST-LL
Location Address2101 GEER RD STE 120Turlock, CA 95382-2456
Mailing Address2101 Geer Rd Ste 120Turlock, CA 95382-2456 · (209) 664-8044 · Fax (209) 541-2114
Fax(209) 541-2114
Sole ProprietorNo
Enumeration DateOctober 29, 2018
Last NPPES UpdateSeptember 16, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1265909204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-FHKIAJ
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2101 GEER RD STE 120, Turlock, CA 95382

Other Providers at the Same Location NPPES 16

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

Adult Companion
2101 GEER RD STE 120
TURLOCK, CA 95382
Counselor (Professional)
2101 GEER RD STE 120
TURLOCK, CA 95382
Community/Behavioral Health
2101 GEER RD STE 120
TURLOCK, CA 95382
Social Worker (Clinical)
2101 GEER RD STE 120
TURLOCK, CA 95382
Adult Companion
2101 GEER RD STE 120
TURLOCK, CA 95382
Social Worker (Clinical)
2101 GEER RD STE 120
TURLOCK, CA 95382
Peer Specialist
2101 GEER RD STE 120
TURLOCK, CA 95382
Adult Companion
2101 GEER RD STE 120
TURLOCK, CA 95382

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 Henley's NPI number?

The NPI number for Jack Henley is 1265909204. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Jack Henley located?

Jack Henley practices at 2101 Geer Rd Ste 120, Turlock, CA 95382. The listed phone number is (209) 664-8044.

What is Jack Henley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jack Henley was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.