Kelvin D'Antrey Mackey, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101326 Issued in IA

Practice address

2016 Cedar Plaza Dr
Muscatine, IA 52761-2883

Phone

(563) 554-2251

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

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.

• Anchored by Hope Counseling Services PLC

  • Mental Health Counselor
  • Muscatine, IA
  • NPI 1386469245

  Mental Health

  NPD Authorized official
• Life Connection, L.C.

  • Early Intervention Provider Agency
  • Cedar Rapids, IA
  • NPI 1538300892

  Single Specialty

  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1134745334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 CEDAR PLAZA DR STE 1",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612286",
            "telephone_number": "563-554-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 CEDAR PLAZA DR",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612883",
            "telephone_number": "563-554-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527613365",
            "country_code": "US",
            "telephone_number": "563-554-2251",
            "fax_number": "888-830-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "KELVIN",
        "middle_name": "D'ANTREY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "101326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Muscatine, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.