RAENISHA MACK NPI 1245420207

Counselor in Ceres, CA

NPI 1245420207 Individual Female Counselor

About RAENISHA MACK

Raenisha Mack is a provider established in Ceres, California and her medical specialization is counselor. The NPI number of Raenisha Mack is 1245420207 and was assigned on July 2007. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 15 years ago.

Raenisha Mack is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1245420207

Provider Name RAENISHA MACK
Provider Location Address1904 RICHLAND AVE CERES, CA 95307
Provider Mailing Address1423 LAKE PARK CT MODESTO, CA 95355
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-26-2007
Last Update Date07-26-2007


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Business Address

RAENISHA MACK
1904 RICHLAND AVE
CERES, CA
ZIP 95307
Phone: (209) 541-2125

Get Directions


Mailing Address

RAENISHA MACK
1423 LAKE PARK CT
MODESTO, CA
ZIP 95355
Phone: (209) 576-8695



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215063177DR. PHILIP CARSON HOILE PH.D.
Individual
Psychologist (Clinical)1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2914
1700912334MS. MARY AGUIRRE
Individual
Case Manager/Care Coordinator1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2914
1164554937 VASILIKI AJA MFT
Individual
Marriage & Family Therapist1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2914
1467579235MISS VICKI SUE RYMAN CAARR
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE 1904 RICHLAND AV.
CERES, CA 95307
(209) 541-2155
1588781371 JOEL BRAMBILA I
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2155
1043337686MR. ALEX FLOREZ BRIENING INTERN
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE 1904 RICLAND AVE
CERES, CA 95307
(209) 541-2121
1750409462 YESENIA CORTEZ
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2155
1922126622 SHERRY LYNN BEIER
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2155
1164540829 TERESA GARZA
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2155
1184743684MRS. DEBBIE LYNN VIEIRA LCSW
Individual
Social Worker (Clinical)1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1194845818MS. ROXANNE JOY CLARK CAARR
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2153
1194847541MS. DONNA MARIE BENJAMIN
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1396868873 JANET TOMA
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1467665034 JESSICA OLSON
Individual
Counselor1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2118
1033327358 CAROL JACINTO
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2123
1386846632MR. ROBERT J DE STEFANO CAS
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1932303849 SCOTT BRADLEY ROBERTS
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1295939809 KRISTINA ANNE STEWART
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1871791061 SARA BARRON
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2121
1871793539 SANDRA MARIE BLACK B A
Individual
Counselor (Addiction (Substance Use Disorder))1904 RICHLAND AVE
CERES, CA 95307
(209) 541-2155

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.