Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN WILLIAM MACK BA, CDP
NPI 1952463234
Counselor in Shoreline, WA

Active since December 14, 2006
17018 15TH AVE NE, SHORELINE, WA 98155(206) 601-9804 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Jan 23, 2017 (2 updates tracked since 2017).

About John William Mack Ba, Cdp NPPES

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

JOHN WILLIAM MACK BA, CDP (NPI 1952463234) is an individual counselor in Shoreline, Washington, licensed in Washington (CG60142038) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1952463234
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJOHN WILLIAM MACKCredential: BA, CDP
Location Address17018 15TH AVE NEShoreline, WA 98155-5137
Mailing Address17018 15th Ave NeShoreline, WA 98155-5137 · (206) 601-9804
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1952463234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · CG60142038
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP 00002940 (WA)
17018 15TH AVE NE, Shoreline, WA 98155

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
17018 15TH AVE NE
SHORELINE, WA 98155
Counselor
17018 15TH AVE NE
SHORELINE, WA 98155
Counselor (Mental Health)
17018 15TH AVE NE
SHORELINE, WA 98155
Counselor
17018 15TH AVE NE
SHORELINE, WA 98155
Case Manager/Care Coordinator
17018 15TH AVE NE
SHORELINE, WA 98155
Student in an Organized Health Care Education/Training Program
17018 15TH AVE NE
SHORELINE, WA 98155
Counselor
17018 15TH AVE NE
SHORELINE, WA 98155
Clinic/Center (Rehabilitation, Substance Use Disorder)
17018 15TH AVE NE
SHORELINE, WA 98155

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 John Mack's NPI number?

The NPI number for John Mack is 1952463234. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is John Mack located?

John Mack practices at 17018 15th Ave NE, Shoreline, WA 98155. The listed phone number is (206) 601-9804.

What is John Mack'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 John Mack was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.