Kevin Mack, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

82836 Issued in TX

Practice address

7322 Southwest Fwy Ste 1055
Houston, TX 77074-2089

Phone

(462) 798-1753

NPI assigned

Oct 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mack Counseling PLLCGroup PAC ID 0446786347, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mack Counseling PLLC

  • Case Management Agency
  • Houston, TX
  • NPI 1891450656

  Counselor

  Medicare reassignment Care Compare group NPD
• Mack Counseling Residential

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
  • NPI 1265304679
  NPD Authorized official

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1972144392",
    "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": "462-798-1753"
        },
        {
            "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": "462-798-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KEVIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "82836",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "82836",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82836",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "82836",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "82836",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "82836",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "27286854",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kmacksu@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ALL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "638 Bold Ruler Dr",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774776354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Ross Mack, M.D.
• Dmonica Leflore Mack, LMSW
• Evangeline Mack, R.PH.
• Gardner Mack, MSN, APRN, FNP-C
• Jacqueline K Mack, LPC
• Maria A Mack, P-MHNP
• Preston C Mack, D.C.
• Rachael R. Mack, RSA, CSA
• Raquasia Mack
• Sarah Drummond Mack, LCSW

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.