MS. BRANDI DANIELLE MACK MA-MFT, LMFT
NPI 1073659314
Marriage & Family Therapist in Auburn, NY

Q: What is Brandi Mack's NPI number?

The NPI number for Brandi Mack is 1073659314. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Brandi Mack's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandi Mack was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2007PECOS Enrolled

17 E GENESEE ST STE 1, AUBURN, NY 13021(315) 253-9795(315) 253-3255 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Brandi Danielle Mack Ma-mft, Lmft NPPES

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

MS. BRANDI DANIELLE MACK MA-MFT, LMFT (NPI 1073659314) is an individual marriage & family therapist in Auburn, New York, licensed in New York (0009181) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1073659314

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. BRANDI DANIELLE MACKCredential: MA-MFT, LMFT

Location Address17 E GENESEE ST STE 1Auburn, NY 13021-4068

Mailing Address6018 Dunning AveAuburn, NY 13021-9823 · (210) 291-7150

Phone(315) 253-9795

Fax(315) 253-3255

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJanuary 30, 2020

✔ NPI 1073659314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NY · 0009181

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

17 E GENESEE ST STE 1, Auburn, NY 13021

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Secondary Practice Location 1

Location 133 William St Ste 5Auburn, NY 13021-3730 · Phone (315) 282-7076

Other Identifiers 1

Medicaid181231501TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Brandi Danielle Mack Ma-mft, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

SHANA M. BENNETT MSW, LSW

Social Worker (Clinical)