Individual provider Active NPI

Heather Rogers Mackel, LPC

  • Professional Counselor
  • Clarkesville, GA
National Provider Identifier
1083742530
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003594 Issued in GA
Practice address
1423 Washington St Ste 217
Clarkesville, GA 30523-5430
Phone
(706) 949-6094
Fax
(706) 776-2250
NPI assigned
Feb 28, 2007
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 LPC003594 GA Primary

Addresses

Primary practice location

1423 Washington St Ste 217
Clarkesville, GA 30523-5430

Mailing address

PO Box 471
Cornelia, GA 30531-1006
Phone (706) 949-6094

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
LPC003594GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1083742530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305311006",
            "telephone_number": "706-949-6094",
            "fax_number": "706-776-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 WASHINGTON ST STE 217",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305235430",
            "telephone_number": "706-949-6094",
            "fax_number": "706-776-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEL",
        "first_name": "HEATHER",
        "middle_name": "ROGERS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.