Active NPI
Hailey Mackin
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1174069843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4422 E Columbus Dr
Tampa, FL 33605 - Phone
- (813) 384-4119
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4422 E Columbus Dr
Tampa, FL 33605
Mailing address
7702 Isabella Dr Apt 17H
Port Richey, FL 34668-7074
Phone (727) 808-0949
Other practice location 1
201 W Plymouth Ave
Deland, FL 32720-2753
Phone (386) 873-2963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 28, 2025 through Jan 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saafe Behavioral Services LLC | Past | Accepting new patients | |
| Saafe Health Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Deland, FL
- NPI 1154757557
-
- Addiction (Substance Use Disorder) Psychologist
- Daytona Beach, FL
- NPI 1497048284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569715200000",
"number": "1174069843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 ISABELLA DR APT 17H",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346687074",
"telephone_number": "727-808-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 E COLUMBUS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33605",
"telephone_number": "813-384-4119"
}
],
"practiceLocations": [
{
"address_1": "201 W Plymouth Ave",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327202753",
"country_code": "US",
"telephone_number": "386-873-2963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKIN",
"first_name": "HAILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2019-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.