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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: August 02, 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
Phone(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
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Other Names 1

Former Name (1)Keesha C Alexander

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

REBECCA MINK MS, LCPC, NCC
Counselor (Professional)
1212 E CHURCHVILLE RD
BEL AIR, MD 21014
Harford County (443) 595-7627
DRUMGOOLE COUNSELING SERVICES INC
Counselor (Professional)
1212 E CHURCHVILLE RD, STE 301
BEL AIR, MD 21014
Harford County (443) 640-4913
BEL AIR FAMILY CHIROPRACTIC LLC
Health Maintenance Organization
1212 E CHURCHVILLE RD, SUITE 201
BEL AIR, MD 21014
Harford County (410) 836-7005
TRACIE YOUNG LCSW-C
Social Worker (Clinical)
1212 E CHURCHVILLE RD, SUITE 301
BEL AIR, MD 21014
Harford County (443) 640-4913
TORE TAXDAL LCSW-C
Social Worker (Clinical)
1212 E CHURCHVILLE RD
BEL AIR, MD 21014
Harford County (443) 640-4913

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.

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 14 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.