Active NPI
Robinne Sue Mackey, LMSW
- Mental Health Counselor
- Farmington, IL
National Provider Identifier
1063660835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- M-05522
- Practice address
- 501 Airport Dr.
St. 253
Farmington, IL 87401 - Phone
- (505) 325-2778
- Fax
- (505) 325-6171
- NPI assigned
- Sep 4, 2008
- Last updated
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M-05522 | NM | Primary |
Addresses
Primary practice location
501 Airport Dr.
St. 253
Farmington, IL 87401
Mailing address
501 Airport Dr
Suite 253
Farmington, NM 87401-2652
Phone (505) 325-2778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95937 | Medicaid | NM | |
| 85-0375998 | Other | NM | FEDERAL TAX I.D. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-05522 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1063660835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AIRPORT DR",
"address_2": "SUITE 253",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012652",
"telephone_number": "505-325-2778",
"fax_number": "505-325-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AIRPORT DR.",
"address_2": "ST. 253",
"city": "FARMINGTON",
"state": "IL",
"postal_code": "87401",
"telephone_number": "505-325-2778",
"fax_number": "505-325-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "ROBINNE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "M-05522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95937",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I.D.",
"identifier": "85-0375998",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.