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OCTAVIA MACK
NPI 1649034810
Counselor - Mental Health in San Diego, CA

Active since February 08, 2024
1925 EUCLID AVE, SAN DIEGO, CA 92105(619) 648-1158 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Octavia Mack NPPES

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

OCTAVIA MACK (NPI 1649034810) is an individual mental health provider in San Diego, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1649034810
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOCTAVIA MACK
Location Address1925 EUCLID AVESan Diego, CA 92105-5361
Mailing Address1925 Euclid AveSan Diego, CA 92105-5361 · (619) 648-1158
Phone(619) 648-1158
Sole ProprietorNo
Enumeration DateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1649034810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1925 EUCLID AVE, San Diego, CA 92105
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Other Providers at the Same Location NPPES 13

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

AHMAD KHOSHAL
Counselor (Mental Health)
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158
KAILA RAE JACKSON
Counselor (Mental Health)
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158
MS. MAURITA DONALDSON
Counselor (Mental Health)
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158
PATRICIA MILONE
Counselor (Mental Health)
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158
BRITTANY COOPER
Doula
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158
ANGEL RAYON SMITH
Marriage & Family Therapist
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158
LEILA SOUAD SAVAGE
Counselor (Mental Health)
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 894-1351
WILLY ANDY WU
Counselor (Mental Health)
1925 EUCLID AVE
SAN DIEGO, CA 92105
San Diego County (619) 648-1158

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 Octavia Mack's NPI number?

The NPI number for Octavia Mack is 1649034810. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Octavia Mack located?

Octavia Mack practices at 1925 Euclid Ave, San Diego, CA 92105. The listed phone number is (619) 648-1158.

What is Octavia Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Octavia Mack was last updated on February 8, 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.