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

Katherine Jack, LPC

Individual provider Professional Counselor · NPI 1588216048

Katherine Jack, LPC is a Professional Counselor in Grand Rapids, Michigan. Licensed in Colorado and Michigan. Registered with an NPI since 2019.

Licensed in
CO, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3351 Claystone St SE Ste G32
Grand Rapids, MI 49546-5794
Phone: (616) 259-6827
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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 6401222851 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 0019661 (CO)

Record details

NPI number1588216048
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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