Keesha C Mack, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC13164 Issued in MD

Practice address

1212 E Churchville Rd
Bel Air, MD 21014-3416

Phone

(215) 287-0494

NPI assigned

Oct 30, 2020

Last updated

May 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keesha C Alexander Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drumgoole Counseling Services Inc

  • Professional Counselor
  • Bel Air, MD
  • NPI 1053706218
  Medicare reassignment NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1801496633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FELICIA CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142539",
            "telephone_number": "215-287-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143416",
            "telephone_number": "215-287-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KEESHA",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEESHA",
            "last_name": "ALEXANDER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fadia Mabrouk, M.D
• Jenna Mace, PT
• Agnes Macharia
• Samuel Kinyanjui Macharia
• Anthony Santo Machi, MD
• Dawn Christine Mackale
• Marian Mackenzie, PT
• Peter J Mackrell, M.D.
• Alex Macmillan
• Mitika T Maddula, MD

• Mental Health Counselor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.