Individual provider Active NPI

Katherine Claire Mack, LMHC

  • Mental Health Counselor
  • Muncie, IN
National Provider Identifier
1124676184
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99095042A Issued in IN
Practice address
333 S Madison St
Muncie, IN 47305-2465
Phone
(765) 286-7000
NPI assigned
Sep 3, 2019
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99095042A IN Primary

Addresses

Primary practice location

333 S Madison St
Muncie, IN 47305-2465

Mailing address

333 S Madison St
Muncie, IN 47305-2465
Phone (765) 286-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcsmith@opendoorhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240129002322 IN Practitioner - Mental Health Counselor 4183077902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Health Services IncGroup PAC ID 5890696603, 40 clinicians

Practice addresses (Care Compare)

333 S Madison St
Muncie, IN 47305-2465
Phone 76528670004235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99095042AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. Current Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

2101 Jackson St
Ste 206
Anderson, IN 46016
Phone (765) 646-8523

2600 W White River Blvd
Muncie, IN 47303
Phone (765) 254-5602

333 S Madison St
Muncie, IN 47305
Phone (765) 281-4257

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1124676184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S MADISON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052465",
            "telephone_number": "765-286-7000",
            "fax_number": "765-213-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S MADISON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052465",
            "telephone_number": "765-286-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KATHERINE",
        "middle_name": "CLAIRE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99095042A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcsmith@opendoorhs.org",
            "affiliation": "N",
            "address_1": "333 S Madison St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473052465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.