NPI age
7 years
Enumerated 2019-03-28
● Active
Type 1 · Individual
Kaneisha MacK, CPS-WH
MacK is 1 of 3 peer specialist providers in Lagrange and 1 of 122 in Georgia.
Primary specialty
Peer Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 122 active peer specialist providers in Georgia.
NPI age
7 years
↑ 5 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Practice location
122 Gordon Commercial Dr
Lagrange, GA 302405754
Mailing address
122 Gordon Commercial Dr
Lagrange, GA 302405754
Specialties
-
Peer Specialist PrimaryIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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