JESSICA REYNOLDS MACK
NPI 1912498205
Peer Specialist in Kingston, NY

Active since May 23, 2018
6 ADAMS ST, KINGSTON, NY 12401(845) 340-9170 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Reynolds Mack NPPES

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

JESSICA REYNOLDS MACK (NPI 1912498205) is an individual peer specialist in Kingston, New York and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1912498205
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJESSICA REYNOLDS MACK
Location Address6 ADAMS STKingston, NY 12401-6012
Mailing Address59 Grand StHighland, NY 12528-1209 · (845) 754-4944
Sole ProprietorNo
Enumeration DateMay 23, 2018
NPI 1912498205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6 ADAMS ST, Kingston, NY 12401

Other Providers at the Same Location NPPES 6

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

Peer Specialist
6 ADAMS ST
KINGSTON, NY 12401
Peer Specialist
6 ADAMS ST
KINGSTON, NY 12401
Counselor (Addiction (Substance Use Disorder))
6 ADAMS ST
KINGSTON, NY 12401
Peer Specialist
6 ADAMS ST
KINGSTON, NY 12401
Peer Specialist
6 ADAMS ST
KINGSTON, NY 12401
Peer Specialist
6 ADAMS ST
KINGSTON, NY 12401

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 Jessica Mack's NPI number?

The NPI number for Jessica Mack is 1912498205. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Jessica Mack located?

Jessica Mack practices at 6 Adams St, Kingston, NY 12401. The listed phone number is (845) 340-9170.

What is Jessica Mack's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jessica Mack was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.