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Active NPI 1144423625 Individual Practitioner Female Practitioner

Bridgette Denise Mack , LPC

Counselor - Professional • Lees Summit, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bridgette Mack, LPC is a certified Counselor - Professional practicing in Lees Summit, MO. With approximately 26 years of clinical experience since completing medical education in 2000, Bridgette Mack delivers high-quality medical care to the local community at 312 SW GREENWICH DR STE 733.

Bridgette Mack accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

312 Sw Greenwich Dr Ste 733

Lees Summit, MO 640824408

Telephone 9137120565
Fax 8165378605

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lees Summit, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +10.7 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
158 Specialists

Practicing in Lees Summit, MO (5929 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (26 Years) 26 Yrs
Lees Summit Specialty Average (15.3 Years) 15.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2001031951

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
499012508 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Precious Davis , CPS

Peer Specialist

NPI 1952915159

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 22, 2022

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

📍
Updated Business Mailing Address January 22, 2022

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

NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2016

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

📍
Updated Business Mailing Address June 23, 2016

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

👤
Provider Name / Credentials Updated June 23, 2016

Recorded as BRIDGETTE MACK, LPC

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

Counselor (License #2001031951 in MO)

🟢
Initial NPI Registration & Enumeration June 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

6216 Swope Pkwy

Kansas City, MO 641304447

Phone: 9136878795

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.