MS. BRENDA KAY MACK MFT
NPI 1447371075
Marriage & Family Therapist in Lemon Grove, CA

Q: What is Brenda Mack's NPI number?

The NPI number for Brenda Mack is 1447371075. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Brenda Mack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenda Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 02, 2007PECOS Enrolled

7227 BROADWAY, SUITE 302, LEMON GROVE, CA 91945(619) 546-8012(619) 546-8012 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Brenda Kay Mack Mft NPPES

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

MS. BRENDA KAY MACK MFT (NPI 1447371075) is an individual marriage & family therapist in Lemon Grove, California, licensed in California (MFC40160) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1998).

NPPES Registry Identity

NPI1447371075

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. BRENDA KAY MACKCredential: MFT

Location Address7227 BROADWAY, SUITE 302Lemon Grove, CA 91945-1500

Mailing Address7227 Broadway, Suite 302Lemon Grove, CA 91945-1500 · (619) 546-8012 · Fax (619) 546-8012

Phone(619) 546-8012

Fax(619) 546-8012

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1998

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447371075 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 CA · MFC40160

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.

7227 BROADWAY, Lemon Grove, CA 91945

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Other Identifiers 1

OtherMFC40160CA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Brenda Kay Mack Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739650656

PECOS Enrollment IDI20260602001109

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 Brenda Mack's NPI number?

The NPI number for Brenda Mack is 1447371075. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Brenda Mack located?

Brenda Mack practices at 7227 Broadway Suite 302, Lemon Grove, CA 91945. The listed phone number is (619) 546-8012.

What is Brenda Mack's specialty?

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

Is Brenda Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brenda Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.