Caleb Mackey, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

294242 Issued in KY

Practice address

204 Bevins LN Ste a
Georgetown, KY 40324-6145

Phone

(859) 951-9777

Fax

(859) 951-9779

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lesa Young Counseling, LLC

  • Mental Health Counselor
  • Georgetown, KY
  • NPI 1750854170

  Professional

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1013741271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246145",
            "telephone_number": "859-951-9777",
            "fax_number": "859-951-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246145",
            "telephone_number": "859-951-9777",
            "fax_number": "859-951-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "CALEB",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "294242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101008430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Jason Lyles, D.C
• Lyndsay Dixon Nutrition LLC
• Benjamin P Lyon, M.D.
• Rebecca Lyons, CRNA
• M. Suzanne Ahnquist, D.M.D.
• James Russell Macswords III, PA-C
• Kenya Manley
• Kendra Rae Marcum
• Judith Hughson Marlowe, M.S., LMFT
• Deborah Martie, PT

• Professional Counselor in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.