Organization Active NPI

Mac Associates LLC

  • Marriage & Family Therapist
  • Olathe, KS
National Provider Identifier
1477284297
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MAC ASSOCIATES LLC
Practice address
13505 S Mur Len Rd Ste 105-216
Olathe, KS 66062-1600
Phone
(913) 687-8244
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
M Graham Maccallum
Title
Owner
Phone
(913) 687-8244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

13505 S Mur Len Rd Ste 105-216
Olathe, KS 66062-1600

Mailing address

13505 S Mur Len Rd Ste 105-216
Olathe, KS 66062-1600
Phone (913) 687-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241123000064 KS Part B Supplier - Clinic/Group Practice 2062947377 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

13505 S Mur Len Rd
Ste 105
Olathe, KS 66062

13505 S Mur Len Rd
Ste 105216
Olathe, KS 66062
Phone (913) 687-8244

Practitioners & affiliated clinicians

Practitioners 2

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1477284297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 S MUR LEN RD STE 105-216",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621600",
            "telephone_number": "913-687-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 S MUR LEN RD STE 105-216",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621600",
            "telephone_number": "913-687-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "MACCALLUM",
        "authorized_official_first_name": "M GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-687-8244"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.