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JACOB SLACK
NPI 1649155052
Counselor - Mental Health in Springfield, MA

Active since August 06, 2025
332 BIRNIE AVE, SPRINGFIELD, MA 01107(413) 732-1920 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacob Slack NPPES

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

JACOB SLACK (NPI 1649155052) is an individual mental health provider in Springfield, Massachusetts and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1649155052
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameJACOB SLACK
Location Address332 BIRNIE AVESpringfield, MA 01107-1104
Mailing Address332 Birnie AveSpringfield, MA 01107-1104
Phone(413) 732-1920
Sole ProprietorYes
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1649155052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
332 BIRNIE AVE, Springfield, MA 01107
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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.

SHAKIRA GIVENS
Counselor
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (413) 733-6624
KIARA TORRES
Home Health Aide
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (844) 243-4357
ISAIAH ROBLES
Counselor
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County No phone listed
AWILDA LOPEZ RN
Registered Nurse
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (413) 439-2189
AMANDA TELSCHAW
Licensed Practical Nurse
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (844) 243-4357
JUDITH AZUIKE RN
Registered Nurse
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (844) 243-4357
VALERIE FERRER-RAMOS
Student in an Organized Health Care Education/Training Program
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (844) 243-4357
CHELSEA PROCTOR-MORRIS
Counselor
332 BIRNIE AVE
SPRINGFIELD, MA 01107
Hampden County (413) 733-6624

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 Jacob Slack's NPI number?

The NPI number for Jacob Slack is 1649155052. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Jacob Slack located?

Jacob Slack practices at 332 Birnie Ave, Springfield, MA 01107. The listed phone number is (413) 732-1920.

What is Jacob Slack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Slack was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.