What is Prethadawn Jack's NPI number?

Prethadawn Jack's National Provider Identifier (NPI) is 1134534373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Prethadawn Jack's specialty?

Prethadawn Jack is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Prethadawn Jack located?

Prethadawn Jack's practice location on file with NPPES is 1911 Bergen St, Brooklyn, NY 11233-4602.

What is Prethadawn Jack's phone number?

The practice phone number listed in the NPPES registry for Prethadawn Jack is (718) 495-6862.

Is Prethadawn Jack's NPI active?

Yes — Prethadawn Jack's NPI (1134534373) is active in the NPPES registry as of the last update on 2014-06-26.

IndividualActive

Prethadawn Jack

NPI 1134534373 · Mental Health Counselor · Brooklyn, NY

Prethadawn Jack is a Mental Health Counselor provider in Brooklyn, NY (NPI 1134534373).

Provider details

NPI number: 1134534373
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: 270311 (NY)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 270311 (NY)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1911 Bergen St

Brooklyn, NY 11233-4602

Phone: (718) 495-6862

Street-level locationGet directions

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Mailing address