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

Mark Allen Jacocks

Individual provider Counselor · NPI 1730763780

Mark Allen Jacocks is a Mental Health Counselor in Chattanooga, Tennessee. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Phone: (423) 499-9335
Fax: (423) 499-9334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4879 (TN)
Counselor Taxonomy 101Y00000X · Licence 4879 (TN)
Professional Counselor Taxonomy 101YP2500X · Licence 4879 (TN)

Record details

NPI number1730763780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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