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Bridgette Denise Mack , LPC

Counselor - Professional β€’ Lees Summit, MO

Active NPI 1144423625 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

312 Sw Greenwich Dr Ste 733
Lees Summit, MO 640824408

Call 9137120565 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

312 Sw Greenwich Dr Ste 733

Lees Summit, MO 640824408

Telephone 9137120565
Fax 8165378605

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2000

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Bridgette Mack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Bridgette Mack as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lees Summit and Missouri

155 active clinicians are listed under Counselor - Professional with a practice address in Lees Summit, MO (5,803 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lees Summit

5.8% of these 155 clinicians have the CMS telehealth indicator.

12.9% of these 155 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2001031951
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
499012508 (MO)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260527002155

Enrollment State Jurisdiction

MO

PECOS Control ID

9335619733

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 22, 2022

Registered at 312 SW GREENWICH DR STE 733, LEES SUMMIT, MO 640824408 (Tel: 9137120565)

πŸ“
Updated Business Mailing Address January 22, 2022

Registered at 6216 SWOPE PKWY, KANSAS CITY, MO 641304447 (Tel: 9136878795)

βœ…
NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2016

Registered at 6216 SWOPE PKWY, KANSAS CITY, MO 641304447 (Tel: 9132038377)

πŸ“
Business Mailing Address (Initial Record) June 23, 2016

Registered at PO BOX 197, BONNER SPRINGS, KS 660120197 (Tel: 9132038377)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2016

Recorded as BRIDGETTE MACK, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Counselor (license number reported to NPPES: MO 2001031951)

🟒
Initial NPI Registration & Enumeration June 11, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144423625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2007
Last Update: January 22, 2022
Sole Proprietor: Yes

Other Counselor - Professionals in Lees Summit

Healthcare providers in Lees Summit

Mailing Address

6216 Swope Pkwy

Kansas City, MO 641304447

Phone: 9136878795

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.