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LAKISHA ELMIRA OLIVER MACK LPC
NPI 1831034057
Counselor - Professional in Savannah, GA

Active since April 22, 2026PECOS Enrolled
141 SALT LANDING CIR, SAVANNAH, GA 31405(912) 376-3888 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakisha Elmira Oliver Mack Lpc NPPES

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

LAKISHA ELMIRA OLIVER MACK LPC (NPI 1831034057) is an individual professional provider in Savannah, Georgia, licensed in Georgia (LPC016703) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831034057
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAKISHA ELMIRA OLIVER MACKCredential: LPC
Location Address141 SALT LANDING CIRSavannah, GA 31405-9471
Mailing Address141 Salt Landing CirSavannah, GA 31405-9471 · (912) 376-3888
Phone(912) 376-3888
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1831034057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC016703
141 SALT LANDING CIR, Savannah, GA 31405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakisha Elmira Oliver Mack Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183196124
PECOS Enrollment IDI20260610004151
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.

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 Lakisha Mack's NPI number?

The NPI number for Lakisha Mack is 1831034057. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Lakisha Mack located?

Lakisha Mack practices at 141 Salt Landing Cir, Savannah, GA 31405. The listed phone number is (912) 376-3888.

What is Lakisha Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lakisha Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lakisha Mack was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.