Jaime McKenzie, LMHC, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAIME MCKENZIE, LMHC, LLC

Practice address

107 Ben Hill Griffin Rd
Venus, FL 33960-2025

Phone

(470) 243-0402

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Jaime L McKenzie, LMHC

Title

Owner

Phone

(772) 200-4619

Specialties & licenses 1

Addresses

Other names 1

• Open Heart and Mind Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1043041999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BEN HILL GRIFFIN RD",
            "city": "VENUS",
            "state": "FL",
            "postal_code": "339602025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BEN HILL GRIFFIN RD",
            "city": "VENUS",
            "state": "FL",
            "postal_code": "339602025",
            "telephone_number": "470-243-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME MCKENZIE, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-200-4619",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Heart and Mind Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open Heart and Mind Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Lynne, WSC, RN, PH.D.
• Jaime L McKenzie, LMHC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Venus, FL
• Providers in Venus, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.