Active NPI
Rhonda Lee Mackey
- Addiction (Substance Use Disorder) Counselor
- Antioch, CA
National Provider Identifier
1730774381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.192217
- Practice address
- 1408 A St
Antioch, CA 94509-2331 - Phone
- (925) 783-0696
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1421310321 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.192217 | OH | Primary |
Addresses
Primary practice location
1408 A St
Antioch, CA 94509-2331
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other practice location 1
3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Phone (833) 510-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1421310321 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.192217 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1730774381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 A ST",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945092331",
"telephone_number": "925-783-0696"
}
],
"practiceLocations": [
{
"address_1": "3545 Lincoln Way E Ste B",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446468624",
"country_code": "US",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKEY",
"first_name": "RHONDA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1421310321",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.192217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.