JILL MICHELE LACK
NPI 1770117442
Counselor - Mental Health in Danvers, MA

Q: What is Jill Lack's NPI number?

The NPI number for Jill Lack is 1770117442. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Q: What is Jill Lack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Lack was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 02, 2020

199 ROSEWOOD DR STE 250, DANVERS, MA 01923(978) 968-1719 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jill Michele Lack NPPES

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

JILL MICHELE LACK (NPI 1770117442) is an individual mental health provider in Danvers, Massachusetts, licensed in Massachusetts (3679) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1770117442

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJILL MICHELE LACK

Location Address199 ROSEWOOD DR STE 250Danvers, MA 01923-1684

Mailing Address199 Rosewood Dr Ste 250Danvers, MA 01923-1684 · (978) 968-1719

Phone(978) 968-1719

Sole ProprietorYes

Enumeration DateMarch 2, 2020

NPPES CertifiedMarch 2, 2020

✔ NPI 1770117442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 3679

199 ROSEWOOD DR STE 250, Danvers, MA 01923

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Other Providers at the Same Location NPPES 3

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

LIANA BURGOS

Case Manager/Care Coordinator

199 ROSEWOOD DR STE 250
DANVERS, MA 01923

Essex County (978) 536-1483

PAMELA LABARRE

Counselor (Mental Health)

199 ROSEWOOD DR STE 250
DANVERS, MA 01923

Essex County (978) 867-7761

MS. CORINNE MARIE COIA MS

Social Worker

199 ROSEWOOD DR STE 250
DANVERS, MA 01923

Essex County (401) 533-1517

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 Jill Lack's NPI number?

The NPI number for Jill Lack is 1770117442. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Jill Lack located?

Jill Lack practices at 199 Rosewood Dr Ste 250, Danvers, MA 01923. The listed phone number is (978) 968-1719.

What is Jill Lack'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 Jill Lack was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.