Organization Active NPI

Mackay Counseling, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Kaysville, UT
National Provider Identifier
1316204720
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3289473501 Issued in UT
Legal business name
MACKAY COUNSELING, LCSW, PLLC
Practice address
447 N 300 W Ste 7
Kaysville, UT 84037-4203
Phone
(801) 414-5894
Fax
(801) 451-5073
NPI assigned
Apr 23, 2012
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Adam Ross Mackay, LCSWNPI 1457626723
Title
Social Worker
Phone
(801) 414-5894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3289473501 UT Primary

Addresses

Primary practice location

447 N 300 W Ste 7
Kaysville, UT 84037-4203

Mailing address

582 Rigby Rd
Farmington, UT 84025-4404
Phone (801) 414-5894

Other identifiers 1

IdentifierTypeStateIssuer
VC0000164309OtherUTVENDOR NUMBER TO PROVIDE SERVICES FOR VOCATIONAL REHABILITATION CLIENTS IN UTAH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1316204720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 RIGBY RD",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840254404",
            "telephone_number": "801-414-5894",
            "fax_number": "801-451-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N 300 W STE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374203",
            "telephone_number": "801-414-5894",
            "fax_number": "801-451-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKAY COUNSELING, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "801-414-5894",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "3289473501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER TO PROVIDE SERVICES FOR VOCATIONAL REHABILITATION CLIENTS IN UTAH",
            "identifier": "VC0000164309",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.