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Mr. Jack Rudy Henley, CST-LL

Peer Specialist in Turlock, CA · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265909204

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack Rudy Henley
Credential CST-LL
Sex Male
Practice address 2101 Geer Rd Ste 120, Turlock, CA, 95382
Fax (209) 541-2114
Enumeration date Oct 29, 2018
Last updated in NPPES Sep 16, 2025

Taxonomy & licenses

172V00000X Community Health Worker Other Service Providers Secondary
175T00000X Peer Specialist Other Service Providers · License MPSS-FHKIAJ (CA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack Henley?
The National Provider Identifier (NPI) for Jack Henley is 1265909204, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Henley practice?
The practice location on file with NPPES is in Turlock, CA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-16.