Theresa Ann Mackey, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-28545 Issued in NC

Practice address

207 S Westgate Dr Ste G-J
Greensboro, NC 27407-1675

Phone

(336) 273-9611

Fax

(336) 273-9663

NPI assigned

Dec 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Theresa Ann Mackey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Metro Treatment of North Carolina L P

  • Methadone Clinic
  • Greensboro, NC
  • NPI 1205041027
  NPD

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1346950144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S WESTGATE DR STE G-J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071675",
            "telephone_number": "336-273-9611",
            "fax_number": "336-273-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S WESTGATE DR STE G-J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071675",
            "telephone_number": "336-273-9611",
            "fax_number": "336-273-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MACKEY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LCAS-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Debra Cobb Mack
• Side Mitchell Mack Jr., PA
• Brian James Mackenzie, M.D.
• Cory Mackenzie
• Lisbeth Mackenzie, LCAS-A, CSAPC
• Stephen Barry Mackler, DDS,MS
• Matthew Timothy Maclean, MD
• Melissa Jane Maclellan, OTR
• Erwin Fernando Macrohon Jr.
• Michael Marconi Maczis, PA-C

• Addiction (Substance Use Disorder) Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.