Mack'S Empowerment Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MACK'S EMPOWERMENT COUNSELING

Practice address

164 Division St Ste 716
Elgin, IL 60120-5534

Phone

(224) 407-5019

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Coresair Anton Mack, MS.ED, LCPC, NCCNPI 1336696582

Title

Owner/Clinician

Phone

(224) 407-5019

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Coresair Anton Mack

  • Professional Counselor
  • Dekalb, IL
  • NPI 1336696582
  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1376118208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HILLCREST DR APT 4210",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152452",
            "telephone_number": "847-421-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 DIVISION ST STE 716",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205534",
            "telephone_number": "224-407-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK'S EMPOWERMENT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CORESAIR",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "224-407-5019",
        "authorized_official_credential": "MS.ED, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackcounselinginfo@mackec.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "164 Division St Ste 716",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601205534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gloria H Ma, M.D.
• Fatima Rose Enriquez Macalaguin-Baradi, FNP-BC
• Mary Carol Macdonald, RD
• Janice Macek, LPC
• Stacie Mack
• Justin Macmillan, DO
• Bryan David Macrie, M.D.
• Hannah Marie Madden
• Kelsey M Madej, APRN
• Lori D Mager, RD

• Adult Mental Health Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.