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JEREMY WALLACE JACK LCPC
NPI 1396039897
Counselor in Billings, MT

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment
1411 MAIN ST STE B-C, BILLINGS, MT 59105(406) 606-9552 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Wallace Jack Lcpc NPPES

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

JEREMY WALLACE JACK LCPC (NPI 1396039897) is an individual counselor in Billings, Montana, licensed in Montana (31177) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396039897
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEREMY WALLACE JACKCredential: LCPC
Location Address1411 MAIN ST STE B-CBillings, MT 59105-1712
Mailing Address1411 Main St # B-cBillings, MT 59105-1712 · (406) 606-9552
Phone(406) 606-9552
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2011
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1396039897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MT · 31177
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1411 MAIN ST STE B-C, Billings, MT 59105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Wallace Jack Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729527627
PECOS Enrollment IDI20240822004361
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

CHERISH L ROBERTS LCPC
Counselor (Professional)
1411 MAIN ST STE B-C
BILLINGS, MT 59105
Yellowstone County (406) 969-5183
HALEY A BRENSDAL LPC
Counselor (Professional)
1411 MAIN ST STE B-C
BILLINGS, MT 59105
Yellowstone County (406) 969-5183
AMIE LAURAYNE HAVNER MS, LCPC
Counselor (Professional)
1411 MAIN ST STE B-C
BILLINGS, MT 59105
Yellowstone County (406) 969-5183
CROSSWAY INCORPORATED
Counselor (Mental Health)
1411 MAIN ST STE B-C
BILLINGS, MT 59105
Yellowstone County (406) 969-5183

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 Jeremy Jack's NPI number?

The NPI number for Jeremy Jack is 1396039897. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Jeremy Jack located?

Jeremy Jack practices at 1411 Main St Ste B-C, Billings, MT 59105. The listed phone number is (406) 606-9552.

What is Jeremy Jack's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jeremy Jack enrolled in Medicare?

Yes. Jeremy Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremy Jack accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Jeremy Jack 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 Jeremy Jack was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.