Jeremy Wallace Jack, LCPC
NPI 1396039897ActiveIndividual· Counselor· Billings, MT
Counselor (LCPC) with Crossway Incorporated, practicing in Billings, Montana. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1396039897 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | Jun 2, 2011 |
| Last updated in NPPES | Aug 31, 2020 |
| Certified by provider | Aug 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 31177 | MT |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Community Health Worker | 172V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MT) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Crossway IncorporatedBillings, MT · 6 clinicians
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