Cecelia Marie Mack, LPC in Atlanta, GA - Medicare Counselor Provider

Cecelia Marie Mack, LPC is a medicare enrolled "Counselor - Mental Health" provider in Atlanta, Georgia. Her current practice location is 265 Boulevard Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 730-1650.

Cecelia Marie Mack is licensed to practice in Georgia (license number LPC004994) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114104478.

Contact Information

	Cecelia Marie Mack, LPC
	265 Boulevard Ne, Atlanta, GA 30312-1208
	(404) 730-1650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cecelia Marie Mack
Gender	Female
Speciality	Counselor - Mental Health
Location	265 Boulevard Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114104478
Provider Enumeration Date: 01/29/2008
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3678010881
Enrollment ID: I20240806002661

Medical Identifiers

Medical identifiers for Cecelia Marie Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114104478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC004994 (Georgia)	Secondary
101YM0800X	Counselor - Mental Health	LPC004994 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cecelia Marie Mack allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20200828002827

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cecelia Marie Mack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cecelia Marie Mack, LPC 1249 Waterton Trl, Douglasville, GA 30134-3689 Ph: (770) 947-6307	Cecelia Marie Mack, LPC 265 Boulevard Ne, Atlanta, GA 30312-1208 Ph: (404) 730-1650

Reviews and Comments

Counselor in Atlanta, GA

Christina Clarke, M.S., ED.S, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 3308 N Hill Pkwy, Atlanta, GA 30341 Phone: 404-229-5201 Fax: 404-229-5201
Eleanor Mcmichael Stewart, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3525 Piedmont Rd Ne, Piedmont Center, Bldg. 8, Suite 102, Atlanta, GA 30305 Phone: 404-550-4210
Eileen Brody Shaw, LC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4536 Barclay Dr, Suite A, Atlanta, GA 30338 Phone: 770-458-8711 Fax: 770-458-8640
Lakeisha Renae Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 935 Marietta St Nw, Atlanta, GA 30318 Phone: 404-323-0248
Takiedra White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1055 Howell Mill Rd Nw Ste 800, Atlanta, GA 30318 Phone: 404-692-6913
Ms. Denise Diane Harper, ST Counselor Medicare: Not Enrolled in Medicare Practice Location: 929 Redbud Ln Sw, Atlanta, GA 30311 Phone: 770-256-4851 Fax: 770-256-4851
Faith Michele Holston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1030 Fayetteville Rd Se, Atlanta, GA 30316 Phone: 404-486-9034

Cecelia Marie Mack, LPC - Medicare Counselor in Atlanta, GA