Jack C Lewis
Counselor • Irving, TX
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, Jack Lewis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jack Lewis was a registered Counselor practicing in Irving, TX. Throughout an active medical career spanning 4 years, Jack Lewis provided care at the practice location at 4120 HACKMORE LOOP until profile deactivation on 2019-05-30.
Practice Location & Contact Primary Location
4120 Hackmore Loop
Irving, TX 75061
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Irving, TX
Practicing in Irving, TX (3454 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 30, 2019
NPI status registered as active in NPPES database
Registered at 4120 HACKMORE LOOP, IRVING, TX 75061 (Tel: 6822194200)
Registered at 4120 HACKMORE LOOP, IRVING, TX 75061 (Tel: 6822194200)
Recorded as JACK LEWIS
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
4120 Hackmore Loop
Irving, TX 75061
Phone: 6822194200
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