Kevin Darnell Mack
Counselor in Greenfield, MA. Individual provider (NPI-1).
NPI number1528298767
StatusActive
Last updated in NPPESJul 22, 2009
Details
- NPI
- 1528298767
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin Darnell Mack
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2009
- Last updated
- Jul 22, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
149 High StGreenfield, MA 01301-2614
Phone 413-736-8329 · Fax 413-732-5362
Mailing address
147 Norman StWest Springfield, MA 01089-5003
Phone 413-736-8329 · Fax 413-732-5362
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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