JACQUELINE MONIQUE PARKS LEACH
NPI 1558824888
Counselor - Professional in Gastonia, NC

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
419 S YORK ST, GASTONIA, NC 28052(704) 865-8722 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2019, Apr 12, 2019 (2 updates tracked since 2019).

About Jacqueline Monique Parks Leach NPPES

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

JACQUELINE MONIQUE PARKS LEACH (NPI 1558824888) is an individual professional provider in Gastonia, North Carolina, licensed in North Carolina (A14757) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558824888
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE MONIQUE PARKS LEACH
Location Address419 S YORK STGastonia, NC 28052-4035
Mailing Address314 Davis Rd # 2Shelby, NC 28152-8737 · (704) 418-1632
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2019
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1558824888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A14757
419 S YORK ST, Gastonia, NC 28052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Monique Parks Leach 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 ID446784524
PECOS Enrollment IDI20241112002546
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Parks Leach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
2211 E FRANKLIN BLVD, STE 100
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
419 S YORK ST
GASTONIA, NC 28052
Counselor (Professional)
419 S YORK ST
GASTONIA, NC 28052

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 Jacqueline Parks Leach's NPI number?

The NPI number for Jacqueline Parks Leach is 1558824888. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Jacqueline Parks Leach located?

Jacqueline Parks Leach practices at 419 S York St, Gastonia, NC 28052. The listed phone number is (704) 865-8722.

What is Jacqueline Parks Leach's specialty?

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

Is Jacqueline Parks Leach enrolled in Medicare?

Yes. Jacqueline Parks Leach 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.

Which organization bills Medicare for Jacqueline Parks Leach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Parks Leach reassigns Medicare benefits to Carolinas Physicians Network Inc (Gastonia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Parks Leach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Parks Leach accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 5 other insurers list Jacqueline Parks Leach 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 Jacqueline Parks Leach was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.