Individual provider Active NPI

Rocio Mackie, LGPC

  • Professional Counselor
  • Silver Spring, MD
National Provider Identifier
1023753605
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LG12407 Issued in MD
Practice address
1420 Spring St
Silver Spring, MD 20910-2701
Phone
(240) 847-7500
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LG12407 MD Primary

Addresses

Primary practice location

1420 Spring St
Silver Spring, MD 20910-2701

Mailing address

1420 Spring St
Silver Spring, MD 20910-2701

Other identifiers 1

IdentifierTypeStateIssuer
00OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info.mfc@eseal.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LG12407MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1023753605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102701",
            "telephone_number": "240-847-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "ROCIO",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LG12407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info.mfc@eseal.org",
            "affiliation": "N",
            "endpointDescription": "Front desk",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1420 Spring St",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209102701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.