REISHA JACK LPC
NPI 1750856522
Counselor - Professional in Memphis, TN

Active since October 09, 2018
1037 CRESTHAVEN RD, MEMPHIS, TN 38119(901) 682-6136(901) 682-7136 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reisha Jack Lpc NPPES

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

REISHA JACK LPC (NPI 1750856522) is an individual professional provider in Memphis, Tennessee, licensed in Tennessee (4412) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1750856522
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREISHA JACKCredential: LPC
Location Address1037 CRESTHAVEN RDMemphis, TN 38119-3833
Mailing Address2231 Oak Hollow LnCordova, TN 38016-5206 · (901) 239-4411
Fax(901) 682-7136
Sole ProprietorNo
Enumeration DateOctober 9, 2018
NPI 1750856522 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 TN · 4412
1037 CRESTHAVEN RD, Memphis, TN 38119

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Counselor (Professional)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Counselor (Professional)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Counselor (Professional)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Social Worker (Clinical)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Counselor (Professional)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Psychologist (Counseling)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119
Psychologist (Clinical)
1037 CRESTHAVEN RD
MEMPHIS, TN 38119

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 Reisha Jack's NPI number?

The NPI number for Reisha Jack is 1750856522. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Reisha Jack located?

Reisha Jack practices at 1037 Cresthaven Rd, Memphis, TN 38119. The listed phone number is (901) 682-6136.

What is Reisha Jack's specialty?

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

What insurance does Reisha Jack accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Reisha Jack 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 Reisha Jack was last updated on October 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.