Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265909204 Individual Practitioner Male Practitioner

Jack Rudy Henley , CST-LL

Peer Specialist • Turlock, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jack Henley, CST-LL is a registered healthcare professional specializing in Peer Specialist in Turlock, CA. Official NPI practice address is registered at 2101 GEER RD STE 120.

Practice Location & Contact Primary Location

Practice Address

2101 Geer Rd Ste 120

Turlock, CA 953822456

Telephone 2096648044
Fax 2095412114
Associated Practice Facility / Clinic
🏢 County Of Stanislaus Facility NPI 1225166739

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Turlock, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Turlock, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-FHKIAJ

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.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1013436971

Master of Science

Manpreet Kaur

Adult Companion

NPI 1083193171
Jorge Contreras

Case Manager/Care Coordinator

NPI 1093245078
Tyra Tate

Counselor - Addiction (Substance Use Disorder)

NPI 1104638808
Eric Andrade , MSW

Counselor - Professional

NPI 1124652987

Master of Social Work

Randy Freitas

Counselor - Addiction (Substance Use Disorder)

NPI 1144856576

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 23, 2024

Registered at 2101 GEER RD STE 120, TURLOCK, CA 953822456 (Tel: 2096648044)

📍
Updated Business Mailing Address September 23, 2024

Registered at 2101 GEER RD STE 120, TURLOCK, CA 953822456 (Tel: 2096648044)

👤
Provider Name / Credentials Updated September 23, 2024

Recorded as JACK HENLEY, CST-LL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Community Health Worker

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as JACK HENLEY, SUDRC #18480

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Counselor

NPI Profile Active October 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2018

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2095257441)

📍
Updated Business Mailing Address October 29, 2018

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2095257441)

👤
Provider Name / Credentials Updated October 29, 2018

Recorded as JACK HENLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Technician (License #R1305810518 in CA)

🟢
Initial NPI Registration & Enumeration October 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265909204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2018
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

2101 Geer Rd Ste 120

Turlock, CA 953822456

Phone: 2096648044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.