ERIC MACKSOUD – Mental Health Counselor, NPI 1023476116

ERIC MACKSOUD is a healthcare provider. based in Lincoln, Rhode Island. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for ERIC MACKSOUD is 1023476116

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ERIC MACKSOUD
NPI
1023476116
Phone
(401) 727-2443
Address
1817 OLD LOUISQUISSET PIKE
Enumeration Date
3 February 2016
Last Update Date
3 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135921980
Graduation Year
2016 (10 years ago)
PAC ID
1355798273
Group Practice PAC ID
6901866706
Professional Enrollment ID
I20231222001175
Address ID
MA010891485WE103XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

340 MENTAL HEALTH COUNSELOR in RI

Provider Addresses for ERIC MACKSOUD

  • 1817 OLD LOUISQUISSET PIKE

    LINCOLN, RI 028654516

    Phone: (401) 727-2443

    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: 2023-12-22

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
I20231222001175IMental Health CounselorMATBD

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 02865)

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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: 6901866706View full group profile
NameSpecialtyState
Nurse PractitionerTN
Clinical Social WorkerMA
-MA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
-MA
Mental Health CounselorMA
Clinical Social WorkerMA
Physician AssistantNH

Reviews

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Frequently asked questions

Is ERIC MACKSOUD listed with a National Provider Identifier?
Yes — ERIC MACKSOUD has NPI 1023476116 on file in the registry.
Would ERIC MACKSOUD appear as active to a payer?
You can treat ERIC MACKSOUD as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ERIC MACKSOUD?
ERIC MACKSOUD's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ERIC MACKSOUD located near Lincoln?
ERIC MACKSOUD currently maps to Lincoln, Rhode Island in this extract.
Does ERIC MACKSOUD accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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