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MR. JACK GERHARDT MCMACKIN
NPI 1073497780
Counselor - Addiction (Substance Use Disorder) in Laguna Hills, CA

Active since August 05, 2025
24953 PASEO DE VALENCIA BLDG B, STE 1B, LAGUNA HILLS, CA 92653(949) 540-0170(949) 540-0173 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jack Gerhardt Mcmackin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK GERHARDT MCMACKIN (NPI 1073497780) is an individual addiction (substance use disorder) provider in Laguna Hills, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1073497780
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JACK GERHARDT MCMACKIN
Location Address24953 PASEO DE VALENCIA BLDG B, STE 1BLaguna Hills, CA 92653
Mailing Address24953 Paseo De Valencia Bldg B, Ste 1bLaguna Hills, CA 92653 · (949) 540-0170 · Fax (949) 540-0173
Phone(949) 540-0170
Fax(949) 540-0173
Sole ProprietorNo
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1073497780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
24953 PASEO DE VALENCIA BLDG B, STE 1B, Laguna Hills, CA 92653
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD ELDON LEE
Counselor
24953 PASEO DE VALENCIA BLDG B, STE 1B
LAGUNA HILLS, CA 92653
Orange County (949) 540-0170
CARRIE VAN WYE BRYSON
Counselor (Addiction (Substance Use Disorder))
24953 PASEO DE VALENCIA BLDG B, STE 1B
LAGUNA HILLS, CA 92653
Orange County (949) 540-0170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mcmackin's NPI number?

The NPI number for Jack Mcmackin is 1073497780. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Jack Mcmackin located?

Jack Mcmackin practices at 24953 Paseo De Valencia Bldg B, Ste 1B, Laguna Hills, CA 92653. The listed phone number is (949) 540-0170.

What is Jack Mcmackin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Mcmackin was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.