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KELLY MACK
NPI 1992533830
Counselor - Mental Health in Ann Arbor, MI

Active since July 23, 2024
2301 S HURON PKWY STE 3D, ANN ARBOR, MI 48104(734) 719-0197 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Mack NPPES

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

KELLY MACK (NPI 1992533830) is an individual mental health provider in Ann Arbor, Michigan, licensed in Michigan (6451023685) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1992533830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MACK
Location Address2301 S HURON PKWY STE 3DAnn Arbor, MI 48104-5133
Mailing Address14800 E Old Us Highway 12Chelsea, MI 48118-2110 · (734) 719-0380
Phone(734) 719-0197
Sole ProprietorNo
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1992533830 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 MI · 6451023685
2301 S HURON PKWY STE 3D, Ann Arbor, MI 48104
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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.

ABIGAIL FEDEWA LMSW
Social Worker (Clinical)
2301 S HURON PKWY STE 3D
ANN ARBOR, MI 48104
Washtenaw County (734) 719-0380
SHELLY CAMPBELL
Counselor (Mental Health)
2301 S HURON PKWY STE 3D
ANN ARBOR, MI 48104
Washtenaw County (734) 719-0380
CAYTLIN BRYANA SCHULTZ MSW
Social Worker (Clinical)
2301 S HURON PKWY STE 3D
ANN ARBOR, MI 48104
Washtenaw County (734) 719-0380
DANIELLE PIGGOTT
Psychologist (Clinical)
2301 S HURON PKWY STE 3D
ANN ARBOR, MI 48104
Washtenaw County (734) 719-0380
JULIA VACHE LMSW
Social Worker (Clinical)
2301 S HURON PKWY STE 3D
ANN ARBOR, MI 48104
Washtenaw County (734) 719-0380

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 Kelly Mack's NPI number?

The NPI number for Kelly Mack is 1992533830. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Kelly Mack located?

Kelly Mack practices at 2301 S Huron Pkwy Ste 3D, Ann Arbor, MI 48104. The listed phone number is (734) 719-0197.

What is Kelly Mack's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Mack was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.