KEESHA C MACK LCPC
NPI 1801496633
Counselor - Mental Health in Bel Air, MD

Active since October 30, 2020PECOS Enrolled
1212 E CHURCHVILLE RD, BEL AIR, MD 21014(215) 287-0494 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, Oct 30, 2020 (2 updates tracked since 2020).

About Keesha C Mack Lcpc NPPES

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

KEESHA C MACK LCPC (NPI 1801496633) is an individual mental health provider in Bel Air, Maryland, licensed in Maryland (LC13164) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801496633
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEESHA C MACKCredential: LCPC
Location Address1212 E CHURCHVILLE RDBel Air, MD 21014-3416
Mailing Address900 Felicia CtBel Air, MD 21014-2539 · (215) 287-0494
Sole ProprietorYes
Enumeration DateOctober 30, 2020
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1801496633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC13164
1212 E CHURCHVILLE RD, Bel Air, MD 21014

Other Names 1

Former Name (1)Keesha C Alexander

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keesha C Mack Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Keesha Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
1212 E CHURCHVILLE RD, STE 301
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
1212 E CHURCHVILLE RD
BEL AIR, MD 21014
Counselor (Professional)
1212 E CHURCHVILLE RD, STE 301
BEL AIR, MD 21014
Health Maintenance Organization
1212 E CHURCHVILLE RD, SUITE 201
BEL AIR, MD 21014
Social Worker (Clinical)
1212 E CHURCHVILLE RD, SUITE 301
BEL AIR, MD 21014
Social Worker (Clinical)
1212 E CHURCHVILLE RD
BEL AIR, MD 21014

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 Keesha Mack's NPI number?

The NPI number for Keesha Mack is 1801496633. It was assigned to this individual provider in the NPPES registry on October 30, 2020. The provider is also known as Keesha C Alexander.

Where is Keesha Mack located?

Keesha Mack practices at 1212 E Churchville Rd, Bel Air, MD 21014. The listed phone number is (215) 287-0494.

What is Keesha Mack's specialty?

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

Is Keesha Mack enrolled in Medicare?

Yes. Keesha Mack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keesha Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keesha Mack reassigns Medicare benefits to Drumgoole Counseling Services Inc (Bel Air, MD). 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 Keesha 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 Keesha Mack was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.