KEZIYAH NA'SHAY MACK AMFT
NPI 1548856701
Marriage & Family Therapist in San Diego, CA

Q: What is Keziyah Mack's NPI number?

The NPI number for Keziyah Mack is 1548856701. It was assigned to this individual provider in the NPPES registry on December 11, 2020. The provider is also known as Keziyah Na'shay Mack Lmft.

Q: What is Keziyah 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 Keziyah Mack was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 December 11, 2020

591 CAMINO DE LA REINA STE 210, SAN DIEGO, CA 92108(619) 206-5271(619) 591-5744 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, Dec 11, 2020 (2 updates tracked since 2020).

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About Keziyah Na'shay Mack Amft NPPES

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

KEZIYAH NA'SHAY MACK AMFT (NPI 1548856701) is an individual marriage & family therapist in San Diego, California, licensed in California (157472) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1548856701

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKEZIYAH NA'SHAY MACKCredential: AMFT

Location Address591 CAMINO DE LA REINA STE 210San Diego, CA 92108-3104

Mailing Address591 Camino De La Reina Ste 210San Diego, CA 92108-3104 · (619) 206-5271 · Fax (619) 591-5744

Phone(619) 206-5271

Fax(619) 591-5744

Sole ProprietorYes

Enumeration DateDecember 11, 2020

Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1548856701 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 · 157472

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.

591 CAMINO DE LA REINA STE 210, San Diego, CA 92108

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Other Names 1

Other Name (5)Keziyah Na'shay Mack Lmft

Other Identifiers 1

Other14137626488CA · Employer

Other Providers at the Same Location NPPES 9

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

SASHA MICHELLE LIZARDI LUQUE

Counselor (Professional)