DR. JACK A COLE PHD.
NPI 1619943784
Psychologist - Clinical in Olney, IL

Q: What is Jack Cole's NPI number?

The NPI number for Jack Cole is 1619943784. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Jack Cole's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jack Cole was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 27, 2006PECOS Enrolled

302 S KITCHELL AVE, OLNEY, IL 62450(618) 395-6261 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jack A Cole Phd. NPPES

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

DR. JACK A COLE PHD. (NPI 1619943784) is an individual clinical provider in Olney, Illinois, licensed in Indiana (20042023A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1619943784

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACK A COLECredential: PHD.

Location Address302 S KITCHELL AVEOlney, IL 62450-1500

Mailing Address302 S. Kitchell AvenueOlney, IL 62450 · (618) 395-6261

Phone(618) 395-6261

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 27, 2006

Last NPPES UpdateNovember 9, 2007

✔ NPI 1619943784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20042023A

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

302 S KITCHELL AVE, Olney, IL 62450

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack A Cole Phd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012937824

PECOS Enrollment IDI20110302000398

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

RANDALL RAY MASTERSON

Psychologist (Clinical)

302 S KITCHELL AVE
OLNEY, IL 62450

Richland County (618) 392-2725

LIVING WELL COUNSELING AND THERAPY SOLUTIONS

Community/Behavioral Health

302 S KITCHELL AVE, SUITE B
OLNEY, IL 62450

Richland County (618) 354-0878

RANDALL RAY MASTERSON M.S., C.S.P.

Psychologist

302 S KITCHELL AVE, SUITE A
OLNEY, IL 62450

Richland County (618) 392-2725

COLWELL COUNSELING & CONSULTING SERVICES, INC.

Preferred Provider Organization

302 S KITCHELL AVE, SUITE A
OLNEY, IL 62450

Richland County (618) 392-8255

MRS. CHERYL COLWELL LCPC

Counselor (Mental Health)

302 S KITCHELL AVE, SUITE A
OLNEY, IL 62450

Richland County (618) 392-8255

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 Cole's NPI number?

The NPI number for Jack Cole is 1619943784. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Jack Cole located?

Jack Cole practices at 302 S Kitchell Ave, Olney, IL 62450. The listed phone number is (618) 395-6261.

What is Jack Cole's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jack Cole enrolled in Medicare?

Yes. Jack Cole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Cole was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.