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ASHLEIGH JANE MACK REGISTERED INTERN
NPI 1285322404
Marriage & Family Therapist in Jacksonville, FL

Active since April 26, 2023PECOS Enrolled
162 BRADFORD LAKE CIR, JACKSONVILLE, FL 32218(743) 214-9472 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashleigh Jane Mack Registered Intern NPPES

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

ASHLEIGH JANE MACK REGISTERED INTERN (NPI 1285322404) is an individual marriage & family therapist in Jacksonville, Florida, licensed in Florida (IMT3884) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285322404
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameASHLEIGH JANE MACKCredential: REGISTERED INTERN
Location Address162 BRADFORD LAKE CIRJacksonville, FL 32218-0102
Mailing Address227 W Morehead StReidsville, NC 27320-3872 · (336) 908-3927 · Fax (336) 860-1648
Phone(743) 214-9472
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1285322404 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 FL · IMT3884
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.
162 BRADFORD LAKE CIR, Jacksonville, FL 32218
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashleigh Jane Mack Registered Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103391537
PECOS Enrollment IDI20260413003166
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.

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 Ashleigh Mack's NPI number?

The NPI number for Ashleigh Mack is 1285322404. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Ashleigh Mack located?

Ashleigh Mack practices at 162 Bradford Lake Cir, Jacksonville, FL 32218. The listed phone number is (743) 214-9472.

What is Ashleigh Mack's specialty?

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

Is Ashleigh Mack enrolled in Medicare?

Yes. Ashleigh Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashleigh Mack was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.