Cheryl McKenzie, PH.D.,LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

104338 Issued in VT

Practice address

88 Park St
Rutland, VT 05701-4710

Phone

(802) 775-2395

Fax

(802) 773-9656

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1053724724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014710",
            "telephone_number": "802-775-2395",
            "fax_number": "802-773-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014710",
            "telephone_number": "802-775-2395",
            "fax_number": "802-773-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "104338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Louisa McGhee
• Kelsey Margaret McGinnis, OTR/L
• Linda Kathryn McIntire
• David M McKay, MD
• Linda Marie McKenna, RPAC
• McKerley Health Care Centers, Inc.
• Ryan McLaughlin
• Brittany Leigh McLean, PHARMD
• McLellan Psychotherapy PLC
• Eileen F McLellan, LICSW

• Addiction (Substance Use Disorder) Counselor in Rutland, VT
• Providers in Rutland, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.