KATHERINE CLAIRE MACK (LMHC) – Mental Health Counselor, NPI 1124676184

KATHERINE CLAIRE MACK (LMHC) is a healthcare provider. based in Muncie, Indiana. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 99095042A (IN). The NPI Number for KATHERINE CLAIRE MACK (LMHC) is 1124676184

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE CLAIRE MACK (LMHC)
NPI
1124676184
Phone
Not provided
Address
333 S MADISON ST
Enumeration Date
3 September 2019
Last Update Date
12 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
76528670004235
Graduation Year
2019 (7 years ago)
PAC ID
4183077902
Group Practice PAC ID
5890696603
Professional Enrollment ID
I20240129002322
Address ID
IN473052465MU333XXSTXX400

Contacts

Secure Messaging
kcsmith@opendoorhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

893 MENTAL HEALTH COUNSELOR in IN

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Provider Addresses for KATHERINE CLAIRE MACK (LMHC)

  • 333, South Madison Street, Muncie, Delaware County, Indiana, 47305, United States

    MUNCIE, IN 473052465

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240129002322IMental Health CounselorINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890696603View full group profile
NameSpecialtyState
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN
Mental Health CounselorIN
Clinical PsychologistIN
Nurse PractitionerIN
Clinical PsychologistIN
Mental Health CounselorIN
Certified Nurse Midwife (Cnm)IN
Clinical Social WorkerIN

Reviews

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Frequently asked questions

How do payers reference KATHERINE CLAIRE MACK (LMHC)?
For KATHERINE CLAIRE MACK (LMHC), use NPI 1124676184 as the unique 10-digit identifier.
Would KATHERINE CLAIRE MACK (LMHC) appear as active to a payer?
You can treat KATHERINE CLAIRE MACK (LMHC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KATHERINE CLAIRE MACK (LMHC)?
At a glance, KATHERINE CLAIRE MACK (LMHC) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHERINE CLAIRE MACK (LMHC)?
Directory geography for KATHERINE CLAIRE MACK (LMHC) centers on Muncie, Indiana.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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