LARISSA ILLYN MACKERT M.ED., APC, NCC
NPI 1841189339
Counselor in Evans, GA

Q: What is Larissa Mackert's NPI number?

The NPI number for Larissa Mackert is 1841189339. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Larissa Mackert's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Mackert was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 30, 2025

622 PONDER PLACE DR STE 2, EVANS, GA 30809(706) 471-0603 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larissa Illyn Mackert M.ed., Apc, Ncc NPPES

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

LARISSA ILLYN MACKERT M.ED., APC, NCC (NPI 1841189339) is an individual counselor in Evans, Georgia, licensed in Georgia (APC010419) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1841189339

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLARISSA ILLYN MACKERTCredential: M.ED., APC, NCC

Location Address622 PONDER PLACE DR STE 2Evans, GA 30809-3119

Mailing Address622 Ponder Place Dr Ste 2Evans, GA 30809-3119 · (706) 471-0603

Phone(706) 471-0603

Sole ProprietorYes

Enumeration DateJune 30, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1841189339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in GA · APC010419

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

622 PONDER PLACE DR STE 2, Evans, GA 30809

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Other Providers at the Same Location NPPES 2

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

MR. BENJAMIN HINOTE MS, LPC, NCC, CPCS

Counselor (Professional)

622 PONDER PLACE DR STE 2
EVANS, GA 30809

Columbia County (706) 471-0603

SAVANNAH RIVER COUNSELING

Counselor (Professional)

622 PONDER PLACE DR STE 2
EVANS, GA 30809

Columbia County (706) 830-3229

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 Larissa Mackert's NPI number?

The NPI number for Larissa Mackert is 1841189339. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Larissa Mackert located?

Larissa Mackert practices at 622 Ponder Place Dr Ste 2, Evans, GA 30809. The listed phone number is (706) 471-0603.

What is Larissa Mackert's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Larissa Mackert was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.