Individual provider Active NPI

Cristina Mackey

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1396093654
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4522 Issued in MD
Practice address
8967 Yellow Brick Rd
Baltimore, MD 21237-2303
Phone
(410) 780-4320
Fax
(410) 780-5205
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4522 MD Primary

Addresses

Primary practice location

8967 Yellow Brick Rd
Baltimore, MD 21237-2303

Mailing address

8967 Yellow Brick Rd
Baltimore, MD 21237-2303
Phone (410) 780-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319001800 MD Practitioner - Mental Health Counselor 0042794828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Health, LLCGroup PAC ID 3476777947, 62 clinicians

Practice addresses (Care Compare)

9627 Philadelphia Rd
Suite 160
Rosedale, MD 21237-4157
Phone (410) 780-5203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4522MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, LLC CurrentSince Mar 1, 2026 Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

5720 Executive Dr
Ste 100105
Catonsville, MD 21228
Phone (443) 423-1656

1114 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 780-4320

9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205

12501 Prosperity Dr
Ste 235
Silver Spring, MD 20904
Phone (240) 630-0664

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1396093654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8967 YELLOW BRICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372303",
            "telephone_number": "410-780-4320",
            "fax_number": "410-780-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8967 YELLOW BRICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372303",
            "telephone_number": "410-780-4320",
            "fax_number": "410-780-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.