Active NPI
Mackenzie Huffman
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1063061430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14977
- Practice address
- 5001 CR Wood Rd
Gastonia, NC 28056-8919 - Phone
- (704) 862-0095
- NPI assigned
- Sep 9, 2019
- Last updated
- Mar 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14977 | NC | Primary |
Addresses
Primary practice location
5001 CR Wood Rd
Gastonia, NC 28056-8919
Mailing address
5001 CR Wood Rd
Gastonia, NC 28056-8919
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mackenziehuffman@bitofhoperanch.org | Direct |
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 |
|---|---|---|---|
| A14977 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bit of Hope Ranch, Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1063061430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 CR WOOD RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 CR WOOD RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568919",
"telephone_number": "704-862-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "MACKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14977",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mackenziehuffman@bitofhoperanch.org",
"affiliation": "N",
"endpointDescription": "HIPAA compliant",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5001 Cr Wood Rd",
"city": "Gastonia",
"state": "NC",
"country_code": "US",
"postal_code": "280568919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.