JACKIE CHRISTINE BODNARIK
NPI 1790812824
Counselor in Jacksonville, NC

Active since February 27, 2007
317 CENTER ST, JACKSONVILLE, NC 28546(910) 347-6009(910) 355-2267 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Christine Bodnarik NPPES

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

JACKIE CHRISTINE BODNARIK (NPI 1790812824) is an individual counselor in Jacksonville, North Carolina and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1790812824
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACKIE CHRISTINE BODNARIK
Location Address317 CENTER STJacksonville, NC 28546-6725
Mailing Address317 Center StJacksonville, NC 28546-6725 · (910) 347-6009 · Fax (910) 355-2267
Fax(910) 355-2267
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1790812824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
317 CENTER ST, Jacksonville, NC 28546

Other Identifiers 2

Medicaid8301307NC
Medicaid3418095NC

Other Providers at the Same Location NPPES

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

Case Management
317 CENTER ST
JACKSONVILLE, NC 28546

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 Jackie Bodnarik's NPI number?

The NPI number for Jackie Bodnarik is 1790812824. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Jackie Bodnarik located?

Jackie Bodnarik practices at 317 Center St, Jacksonville, NC 28546. The listed phone number is (910) 347-6009.

What is Jackie Bodnarik'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 Jackie Bodnarik was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.