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MR. KIM I MACK MFT
NPI 1699896795
Marriage & Family Therapist in Richmond, CA

Active since April 03, 2007
712 KERN ST, RICHMOND, CA 94805(510) 215-9665 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kim I Mack Mft NPPES

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

MR. KIM I MACK MFT (NPI 1699896795) is an individual marriage & family therapist in Richmond, California, licensed in California (MFC 22328) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1699896795
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KIM I MACKCredential: MFT
Location Address712 KERN STRichmond, CA 94805-1547
Mailing Address712 Kern StRichmond, CA 94805-1547 · (510) 215-9665
Phone(510) 215-9665
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699896795 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 · MFC 22328
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.
712 KERN ST, Richmond, CA 94805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Kim Mack's NPI number?

The NPI number for Kim Mack is 1699896795. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Kim Mack located?

Kim Mack practices at 712 Kern St, Richmond, CA 94805. The listed phone number is (510) 215-9665.

What is Kim Mack's specialty?

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

What insurance does Kim Mack accept?

Health plans from Providence Health Plan list Kim Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim 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.