Carla Jack, LMHC
NPI 1780050807 · Mental Health Counselor · Forest Hills, NY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carla Jack, LMHC is a Mental Health Counselor provider in Forest Hills, NY (NPI 1780050807).
Provider details
- NPI number
- 1780050807
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- License
- 010630 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 209 Jamaica Ave # 11Brooklyn, NY 11207-2053Phone: (718) 309-7935Fax: (718) 455-0951
Registry dates
- Enumerated
- 2015-08-12
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Frequently asked questions
- What is Carla Jack's NPI number?
- Carla Jack's National Provider Identifier (NPI) is 1780050807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carla Jack's specialty?
- Carla Jack is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Carla Jack located?
- Carla Jack's practice location on file with NPPES is 10326 68th Rd, Forest Hills, NY 11375-3200.
- What is Carla Jack's phone number?
- The practice phone number listed in the NPPES registry for Carla Jack is (718) 261-3330.
- Does Carla Jack accept Medicare?
- Carla Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carla Jack's NPI active?
- Yes — Carla Jack's NPI (1780050807) is active in the NPPES registry as of the last update on 2025-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.