Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JADEA E. MACK
NPI 1194631945
Counselor - Addiction (Substance Use Disorder) in Lake City, SC

Q: What is Jadea Mack's NPI number?

The NPI number for Jadea Mack is 1194631945. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Q: What is Jadea Mack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jadea Mack was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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 August 21, 2026

111 N MATTHEWS RD, LAKE CITY, SC 29560(843) 665-7988 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jadea E. Mack NPPES

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

JADEA E. MACK (NPI 1194631945) is an individual addiction (substance use disorder) provider in Lake City, South Carolina and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1194631945

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJADEA E. MACK

Location Address111 N MATTHEWS RDLake City, SC 29560-2309

Mailing Address613 Chestnut StDarlington, SC 29532-5105

Phone(843) 665-7988

Sole ProprietorYes

Enumeration DateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1194631945 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

111 N MATTHEWS RD, Lake City, SC 29560

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Other Providers at the Same Location NPPES 4

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

STEELE HEARING

Hearing Instrument Specialist

111 N MATTHEWS RD
LAKE CITY, SC 29560

Florence County (843) 253-0435

SOURCE LINGUISTICS PHYSICAL THERAPY -REHABILITATION CENTER

Physical Therapist

111 N MATTHEWS RD
LAKE CITY, SC 29560

Florence County (843) 394-5618

TERRELL E FOWLER III D.C

Chiropractor

111 N MATTHEWS RD
LAKE CITY, SC 29560

Florence County (843) 374-8299

FOWLER CHIROPRACTIC

Chiropractor

111 N MATTHEWS RD
LAKE CITY, SC 29560

Florence County (843) 374-8299

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 Jadea Mack's NPI number?

The NPI number for Jadea Mack is 1194631945. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Jadea Mack located?

Jadea Mack practices at 111 N Matthews Rd, Lake City, SC 29560. The listed phone number is (843) 665-7988.

What is Jadea 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 Jadea Mack was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.