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MICHAEL MACK
NPI 1114333796
Counselor - Addiction (Substance Use Disorder) in Boulder, CO

Active since July 03, 2014
3450 BROADWAY ST, BOULDER, CO 80304(303) 441-1100 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Mack NPPES

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

MICHAEL MACK (NPI 1114333796) is an individual addiction (substance use disorder) provider in Boulder, Colorado and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1114333796
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL MACK
Location Address3450 BROADWAY STBoulder, CO 80304-1824
Mailing Address4347 E 135th WayThornton, CO 80241-1583
Phone(303) 441-1100
Sole ProprietorYes
Enumeration DateJuly 3, 2014
✔ NPI 1114333796 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
3450 BROADWAY ST, Boulder, CO 80304
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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.

AMANDA S DAWSON
Counselor (Mental Health)
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1100
MELISSA GREEN
Counselor
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1100
WILLIAM CARLTON COPPERSMITH JR. M.A.
Counselor (Mental Health)
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1136
NATASHA STACKHOUSE
Counselor (Mental Health)
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1100
MICHELE RYAN CACII, CPSII
Counselor (Addiction (Substance Use Disorder))
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1100
ANJA KEB PETERSON REGISTERED NURSE
Registered Nurse
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1000
MR. JEFFREY SCOTT BROWN
Counselor (Mental Health)
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1100
MRS. MERYL BETH ROMER MA, CACIII
Counselor (Addiction (Substance Use Disorder))
3450 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1287

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 Michael Mack's NPI number?

The NPI number for Michael Mack is 1114333796. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Michael Mack located?

Michael Mack practices at 3450 Broadway St, Boulder, CO 80304. The listed phone number is (303) 441-1100.

What is Michael Mack'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 Michael Mack was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.