IndividualActive
Mark Lackmann, LADAC I; CADC I
NPI 1689449803 · Addiction (Substance Use Disorder) Counselor · Memphis, TN
Provider details
- NPI number
- 1689449803
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADAC I; CADC I
- Sex
- Male
- Sole proprietor
- No
- License
- TN-006 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
661 Madison Ave
Memphis, TN 38103-3307
Phone: (901) 267-4008
Street-level locationGet directions
Mailing address
3045 Leeridge Dr
Bartlett, TN 38134-3613
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.