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MR. JONATHAN TRIMBLE MACK EDM, LPCC
NPI 1295784353
Counselor - Mental Health in Albuquerque, NM

Active since May 08, 2006
7109 PROSPECT PL NE, ALBUQUERQUE, NM 87110(505) 796-4004(505) 830-3264 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jonathan Trimble Mack Edm, Lpcc NPPES

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

MR. JONATHAN TRIMBLE MACK EDM, LPCC (NPI 1295784353) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (0086461) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1295784353
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JONATHAN TRIMBLE MACKCredential: EDM, LPCC
Location Address7109 PROSPECT PL NEAlbuquerque, NM 87110-4313
Mailing AddressPo Box 1613Peralta, NM 87042-1613 · (505) 796-4004 · Fax (505) 866-9278
Phone(505) 796-4004
Fax(505) 830-3264
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 8, 2010
✔ NPI 1295784353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · 0086461
7109 PROSPECT PL NE, Albuquerque, NM 87110
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Other Providers at the Same Location NPPES

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

FAMILY HARMONY
Community/Behavioral Health
7109 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 629-1590

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 Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1295784353. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Jonathan Mack located?

Jonathan Mack practices at 7109 Prospect Pl NE, Albuquerque, NM 87110. The listed phone number is (505) 796-4004.

What is Jonathan Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on March 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.