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JENNIFER MOAK
NPI 1699495176
Counselor in Columbia, MS

Active since September 02, 2022
217 DEWEY ST, COLUMBIA, MS 39429(601) 736-6799(601) 736-4809 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Moak NPPES

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

JENNIFER MOAK (NPI 1699495176) is an individual counselor in Columbia, Mississippi, licensed in Mississippi (3391) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1699495176
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER MOAK
Location Address217 DEWEY STColumbia, MS 39429-2751
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(601) 736-6799
Fax(601) 736-4809
Sole ProprietorNo
Enumeration DateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
✔ NPI 1699495176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MS · 3391
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
217 DEWEY ST, Columbia, MS 39429
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Other Providers at the Same Location NPPES 18

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

CONNIE JONES PCMHT
Counselor (Mental Health)
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
BRANDIE ROBBINS RN
Registered Nurse (Psychiatric/Mental Health)
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
OMEGA DILLON
Day Training/Habilitation Specialist
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
SABRINA FORTENBERRY RN
Registered Nurse
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
SAMANTHA BUCKLEY
Counselor (Mental Health)
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
AMANDA HOLMES PCMHT
Counselor (Mental Health)
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
CANDACE SHOL RN
Registered Nurse
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799
VALERIE AIKENS P-LPC
Counselor
217 DEWEY ST
COLUMBIA, MS 39429
Marion County (601) 736-6799

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 Jennifer Moak's NPI number?

The NPI number for Jennifer Moak is 1699495176. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Jennifer Moak located?

Jennifer Moak practices at 217 Dewey St, Columbia, MS 39429. The listed phone number is (601) 736-6799.

What is Jennifer Moak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Moak was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.