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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Brenda Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

K'ima:w Medical Center
679 mi
Clinic/Center
535 AIRPORT RD
Hoopa, CA 95546
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Kima-W Medical Center
  • 33 clinicians in this Medicare group
NPI 1306904222 (530) 625-4261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Brenda Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Mack reassigns Medicare benefits to K'ima:w Medical Center (Hoopa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.