Lawrence C. Mack Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62743 Issued in TX

Practice address

2391 NE Loop 410
San Antonio, TX 78217-5600

Phone

(210) 222-0152

Fax

(210) 222-1392

NPI assigned

Aug 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Crystal Counseling PLLC

  • Case Management Agency
  • San Antonio, TX
  • NPI 1588923304
  NPD Authorized official
• Crystal Counseling, PLLC

  • Counselor
  • San Antonio, TX
  • NPI 1689058570
  NPD Authorized official
• Crystal Wellness Center Inc

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1124583349
  NPD Authorized official
• True Mental Health Services, LLC

  • Case Management Agency
  • San Antonio, TX
  • NPI 1972960144

  Professional

  NPD

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1992936124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 CEREMONY CV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782391850",
            "telephone_number": "210-222-0152",
            "fax_number": "210-222-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175600",
            "telephone_number": "210-222-0152",
            "fax_number": "210-222-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "LAWRENCE",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Yvette Maciel, MSN, APRN, FNP-C
• Jenna Macik
• Angela Kalleen Mack, PT
• Gavin Mack
• Jessica Christina Mack, LVN
• Lynell Marie Mack
• Nia Ajae Mack
• Sarah Katherine Mackay, COTA
• Mackenzie Manor LLC
• Mylene Marie Mackey, LPC

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.