NPIMap

Organization Active NPI

Mack Counseling PLLC

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1891450656
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MACK COUNSELING PLLC
Practice address
7322 Southwest Fwy Ste 1055
Houston, TX 77074-2089
Phone
(346) 279-8175
NPI assigned
Nov 5, 2021
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Keara Mack
Title
Cfo
Phone
(281) 903-0124

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7322 Southwest Fwy Ste 1055
Houston, TX 77074-2089

Mailing address

7322 Southwest Fwy Ste 1055
Houston, TX 77074-2089
Phone (346) 279-8175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241213003549 TX Part B Supplier - Clinic/Group Practice 0446786347 Receives reassigned benefits from 8 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7322 Southwest Fwy
Ste 1055
Houston, TX 77074
Phone (346) 279-8175

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1891450656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 1055",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742089",
            "telephone_number": "346-279-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 1055",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742089",
            "telephone_number": "346-279-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KEARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-903-0124"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.