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Jesse Tyler Mack, LPC

Professional Counselor in Clinton, LA · enumerated 2016.

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

National Provider Identifier

1417308594

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Registry record

Entity type Individual (Type 1)
Name Jesse Tyler Mack
Credential LPC
Sex Male
Practice address 11990 Jackson St, Clinton, LA, 70722
Fax (225) 683-1310
Enumeration date Jun 29, 2016
Last updated in NPPES Oct 31, 2019

Taxonomy & licenses

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 6784 (LA) Primary
LPC · Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential

Other identifiers

Identifier Type State Issuer
6784 Other LA STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS

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 Jesse Mack?
The National Provider Identifier (NPI) for Jesse Mack is 1417308594, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jesse Mack practice?
The practice location on file with NPPES is in Clinton, LA. 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 2019-10-31.