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JESSE TYLER MACK LPC
NPI 1417308594
Counselor - Professional in Clinton, LA

Active since June 29, 2016
11990 JACKSON ST, CLINTON, LA 70722(225) 683-5292(225) 683-1310 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, Oct 3, 2018, Jun 29, 2016 (3 updates tracked since 2016).

About Jesse Tyler Mack Lpc NPPES

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

JESSE TYLER MACK LPC (NPI 1417308594) is an individual professional provider in Clinton, Louisiana, licensed in Louisiana (6784) and active in the NPI registry since June 2016. He maintains a secondary practice location in Denham Springs.

NPPES Registry Identity

NPI1417308594
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJESSE TYLER MACKCredential: LPC
Location Address11990 JACKSON STClinton, LA 70722
Mailing AddressPo Box 395Clinton, LA 70722-0395 · (225) 683-5292 · Fax (225) 683-1310
Phone(225) 683-5292
Fax(225) 683-1310
Sole ProprietorNo
Enumeration DateJune 29, 2016
Last NPPES UpdateOctober 31, 20193 updates tracked since enumeration
✔ NPI 1417308594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 6784
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11990 JACKSON ST, Clinton, LA 70722
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Other Names 1

Professional Name (2)Jesse Mack Lpc

Secondary Practice Location 1

Location 130826 Linder RdDenham Springs, LA 70726 · Phone (225) 665-7878

Other Identifiers 1

Other6784LA · State Of Louisiana Licensed Professional Counselors Board Of Examiners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

CASSANDRA MCPHATE RN
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MRS. SHANTELE ANGELA BUTLER LPC-S
Counselor (Professional)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
SANDRA WILSON COLLINS
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-1380
TARA ELIZABETH SMITH LDN
Dietitian, Registered
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
KELLI R BARBAY LCSW
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MRS. KELLY BANKSTON APRN
Nurse Practitioner (Family)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MIRANDA SMITH GSW
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
DR. LAUREN OLSON SMITH D.M.D
Dentist (General Practice)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292

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 Jesse Mack's NPI number?

The NPI number for Jesse Mack is 1417308594. It was assigned to this individual provider in the NPPES registry on June 29, 2016. The provider is also known as Jesse Mack Lpc.

Where is Jesse Mack located?

Jesse Mack practices at 11990 Jackson St, Clinton, LA 70722. The listed phone number is (225) 683-5292.

What is Jesse Mack's specialty?

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

What insurance does Jesse Mack accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jesse Mack 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 Jesse Mack was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.