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

Jacqueline Monique Parks Leach

Individual provider Professional Counselor · NPI 1558824888

Jacqueline Monique Parks Leach is a Mental Health Counselor in Gastonia, North Carolina. Qualified in 2018, 8 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

419 S York St
Gastonia, NC 28052-4035
Phone: (704) 865-8722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A14757 (NC)

Record details

NPI number1558824888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2019
Last updated in NPPESSeptember 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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