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JUSTIN OTTIS MACK QMHS, CDCA,BA
NPI 1508472952
Case Manager/Care Coordinator in Cleveland, OH

Active since September 21, 2020
2151 W 81ST ST, CLEVELAND, OH 44102(716) 446-3944 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, Feb 7, 2022, Sep 21, 2020 (3 updates tracked since 2020).

About Justin Ottis Mack Qmhs, Cdca,ba NPPES

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

JUSTIN OTTIS MACK QMHS, CDCA,BA (NPI 1508472952) is an individual case manager/care coordinator provider in Cleveland, Ohio, licensed in Ohio (UH804004) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1508472952
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJUSTIN OTTIS MACKCredential: QMHS, CDCA,BA
Location Address2151 W 81ST STCleveland, OH 44102-4162
Mailing Address2151 W 81st StCleveland, OH 44102-4162 · (716) 446-3944
Phone(716) 446-3944
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1508472952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in OH · UH804004
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 176595 (OH)
2151 W 81ST ST, Cleveland, OH 44102
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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.

JUST IN TIME COMMUNITY CASE MANAGEMENT SERVICES LLC
Community/Behavioral Health
2151 W 81ST ST
CLEVELAND, OH 44102
Cuyahoga County (216) 713-3831

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 Justin Mack's NPI number?

The NPI number for Justin Mack is 1508472952. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Justin Mack located?

Justin Mack practices at 2151 W 81st St, Cleveland, OH 44102. The listed phone number is (716) 446-3944.

What is Justin Mack's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Justin Mack was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.