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MR. MARK OLIVER STACK JR.
NPI 1528558624
Peer Specialist in Visalia, CA

Active since May 14, 2018
520 E TULARE AVE, VISALIA, CA 93292(559) 623-0900 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Mark Oliver Stack Jr. NPPES

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

MR. MARK OLIVER STACK JR. (NPI 1528558624) is an individual peer specialist in Visalia, California and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1528558624
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. MARK OLIVER STACK JR.
Location Address520 E TULARE AVEVisalia, CA 93292-3629
Mailing Address520 E Tulare AveVisalia, CA 93292-3629 · (559) 623-0900
Phone(559) 623-0900
Sole ProprietorNo
Enumeration DateMay 14, 2018
✔ NPI 1528558624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
520 E TULARE AVE, Visalia, CA 93292
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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.

ANNABEL S CEBALLOS
Licensed Psychiatric Technician
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
DR. HAMID QAISER SIAL MD
Psychiatry & Neurology (Psychiatry)
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (669) 327-8700
ANDY PHETSEDA CASE MANAGER
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
RAMONA GUTIERREZ
Peer Specialist
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
SARAH STOTZER
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0486
MARIO VENCES
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
DANIELLE L BRINSON CADC-CAS
Social Worker
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
JOHAN WALL LMFT
Marriage & Family Therapist
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0908

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 Mark Stack's NPI number?

The NPI number for Mark Stack is 1528558624. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Mark Stack located?

Mark Stack practices at 520 E Tulare Ave, Visalia, CA 93292. The listed phone number is (559) 623-0900.

What is Mark Stack'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 Mark Stack was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.