Organization Active NPI

Mackey Counseling Services, a Licensed Clinical Social Worker Corp

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1386359180
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MACKEY COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP
Practice address
595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028
Phone
(626) 249-9411
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Authorized official

Name
Tomiko D. Mackey, MSWNPI 1861058075
Title
President/Ceo
Phone
(626) 249-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028

Mailing address

530 S Lake Ave Ste 925
Pasadena, CA 91101-3515
Phone (626) 249-9411

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.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1386359180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE STE 925",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "626-249-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012028",
            "telephone_number": "626-249-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKEY COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "TOMIKO",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-249-9411",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.