Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Jack

Individual provider Mental Health Counselor · NPI 1386371235

Amanda Jack is a Mental Health Counselor in Meridian, Idaho. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

2463 E Gala St
Meridian, ID 83642-5209
Phone: (208) 955-7333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386371235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateJune 14, 2022

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