Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KEVIN MACK
Active
Individual
KEVIN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
82836
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
82836
TX
101YM0800X
Mental Health Counselor
82836
TX
101YP1600X
Pastoral Counselor
82836
TX
101YP2500X
Professional Counselor
Primary
82836
TX
101YS0200X
School Counselor
82836
TX
106H00000X
Marriage & Family Therapist
82836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27286854
DRIVERS LICENSE
TX
Enumeration date
10/07/2019
Last updated
06/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up