Alicia D Mainka, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1513 Issued in MS

Practice address

1755 Lelia Dr Ste 405-701
Jackson, MS 39216-4828

Phone

(601) 456-2633

NPI assigned

Feb 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mainka Teletherapy Services, LLC

  • Mental Health Counselor
  • Vicksburg, MS
  • NPI 1700648631
  Medicare reassignment Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MS

  Medicare reassignment
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MS

  Medicare reassignment
• Region Seven Mental Health Idd Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, MS
  • NPI 1376669135
  NPD (past)
• Region Seven Mental Health Intellectual Disabilities Comm

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Point, MS
  • NPI 1700894730
  NPD (past)

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1477850618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 LELIA DR STE 405-701",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164828",
            "telephone_number": "601-456-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 LELIA DR STE 405-701",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164828",
            "telephone_number": "601-456-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Polk St",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805024",
            "country_code": "US",
            "telephone_number": "601-456-2633",
            "fax_number": "601-456-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINKA",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1513",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Jehad Mahmoud
• Michael A Mahowald, MD, PHD
• Adrienne Webb Maier, M.D.
• Main Midtown Inc
• Chandra S Maina, CMHT
• Vikas Majithia, MD
• Joseph Majure, M.D.
• Luci Madden Makamson, MD
• Kayla Lovitt Male, MD
• Tasnova Malek, MD

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.