John C Jacks , LPC
Counselor - Professional • Fultondale, AL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Jacks has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
John Jacks, LPC was a registered Counselor - Professional practicing in Fultondale, AL. Throughout an active medical career spanning 6 years, John Jacks provided care at the practice location at 1600 KATHY LN until profile deactivation on 2024-01-03.
Practice Location & Contact Primary Location
1600 Kathy Ln
Fultondale, AL 350681418
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Fultondale, AL
Practicing in Fultondale, AL (1850 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 03, 2024
Counselor (License #3193 in AL)
NPI status registered as active in NPPES database
Registered at 1600 KATHY LN, FULTONDALE, AL 350681418 (Tel: 2059370234)
Registered at 1600 KATHY LN, FULTONDALE, AL 350681418 (Tel: 2059370234)
Recorded as JOHN JACKS, LPC
Counselor (License #33193 in AL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1600 Kathy Ln
Fultondale, AL 350681418
Phone: 2059370234
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