JACKIE POWELL MAC, LISAC
NPI 1366895427
Counselor - Addiction (Substance Use Disorder) in Mesa, AZ

Active since July 13, 2016
6262 E BROADWAY RD, SUITE 101, MESA, AZ 85206(480) 664-4053(480) 452-0883 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2018, Jul 13, 2016 (2 updates tracked since 2016).

About Jackie Powell Mac, Lisac NPPES

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

JACKIE POWELL MAC, LISAC (NPI 1366895427) is an individual addiction (substance use disorder) provider in Mesa, Arizona, licensed in Arizona (LISAC-15108) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1366895427
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE POWELLCredential: MAC, LISAC
Location Address6262 E BROADWAY RD, SUITE 101Mesa, AZ 85206-6101
Mailing Address6262 E Broadway Rd, Suite 101Mesa, AZ 85206-6101 · (480) 664-4053 · Fax (480) 452-0883
Fax(480) 452-0883
Sole ProprietorNo
Enumeration DateJuly 13, 2016
Last NPPES UpdateSeptember 28, 20182 updates tracked since enumeration
NPI 1366895427 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
License Licensed in AZ · LISAC-15108
6262 E BROADWAY RD, Mesa, AZ 85206

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Ophthalmology
6262 E BROADWAY RD, STE 106
MESA, AZ 85206
Counselor (Addiction (Substance Use Disorder))
6262 E BROADWAY RD, SUITE 101
MESA, AZ 85206
Counselor (Professional)
6262 E BROADWAY RD
MESA, AZ 85206
Counselor (Addiction (Substance Use Disorder))
6262 E BROADWAY RD
MESA, AZ 85206
Audiologist
6262 E BROADWAY RD, #103
MESA, AZ 85206
Ophthalmology
6262 E BROADWAY RD, SUITE 106
MESA, AZ 85206
Audiologist
6262 E BROADWAY RD, #103
MESA, AZ 85206

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 Jackie Powell's NPI number?

The NPI number for Jackie Powell is 1366895427. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Jackie Powell located?

Jackie Powell practices at 6262 E Broadway Rd Suite 101, Mesa, AZ 85206. The listed phone number is (480) 664-4053.

What is Jackie Powell's specialty?

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

What insurance does Jackie Powell accept?

Health plans from Blue Cross Blue Shield of Arizona list Jackie Powell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Powell was last updated on September 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.