Miriam C Mackenzie, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

30 Beechwood Dr
Mashpee, MA 02649-2334

Phone

(508) 269-8262

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1013277805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUMMER ST STE 202",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803469",
            "telephone_number": "508-269-8262",
            "fax_number": "508-822-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BEECHWOOD DR",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492334",
            "telephone_number": "508-269-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023017501",
            "country_code": "US",
            "telephone_number": "508-269-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "MIRIAM",
        "middle_name": "C",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "9534556",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brewster Lodge, PHARMD
• Kristen Anne Long, LMT
• Rebecca Elizabeth Lowry
• Danielle Lucca, LICSW
• Heather Macara, LCSW
• Lee Macleod
• Kyle Riley Mahoney, PT
• Charles D Malis, M.D.
• Sarah Maloney
• John Francis Mancini, DDS

• Mental Health Counselor in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.