Active NPI
Mackenzie Fox, LPC-MHSP (TEMP)
- Counselor
- Nashville, TN
National Provider Identifier
1053074005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5574
- Practice address
- 1101 17TH Ave S
Nashville, TN 37212-2203 - Phone
- (615) 405-1426
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5574 | TN | Primary |
Addresses
Primary practice location
1101 17TH Ave S
Nashville, TN 37212-2203
Mailing address
2410 Elliott Ave Apt 760
Nashville, TN 37204-2575
Phone (615) 405-1426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5574 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1053074005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 ELLIOTT AVE APT 760",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042575",
"telephone_number": "615-405-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 17TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122203",
"telephone_number": "615-405-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MACKENZIE",
"credential": "LPC-MHSP (TEMP)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "5574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.