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

Jacob Slack

Individual provider Mental Health Counselor · NPI 1649155052

Jacob Slack is a Mental Health Counselor in Springfield, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

332 Birnie Ave
Springfield, MA 01107-1104
Phone: (413) 732-1920
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1649155052
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address332 Birnie Ave, Springfield, MA 01107-1104

Other providers in Springfield