Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Ottis Mack, QMHS, CDCA, BA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508472952

Justin Ottis Mack, QMHS, CDCA, BA is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2151 W 81st St
Cleveland, OH 44102-4162
Phone: (716) 446-3944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence UH804004 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 176595 (OH)

Record details

NPI number1508472952
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHS , CDCA , BA
Sole proprietorNo
NPI enumeratedSeptember 21, 2020
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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