Individual provider Active NPI

Mackenzie Colgan, LCPC

  • Mental Health Counselor
  • Chevy Chase, MD
National Provider Identifier
1073022232
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC12630 Issued in MD
Practice address
7307 Summit Ave
Chevy Chase, MD 20815-4029
Phone
(240) 899-2885
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCPC12630 MD
Mental Health Counselor 101YM0800X LCPC12630 MD Primary

Addresses

Primary practice location

7307 Summit Ave
Chevy Chase, MD 20815-4029

Mailing address

7307 Summit Ave
Chevy Chase, MD 20815-4029
Phone (240) 899-2885

Other practice location 1

8609 2nd Ave Ste 404B
Silver Spring, MD 20910-3374
Phone (571) 601-0903

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

LicenseStateTypeSpecialty
LCPC12630MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1073022232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 SUMMIT AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154029",
            "telephone_number": "240-899-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 SUMMIT AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154029",
            "telephone_number": "240-899-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8609 2nd Ave Ste 404B",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103374",
            "country_code": "US",
            "telephone_number": "571-601-0903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "MACKENZIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LCPC12630",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCPC12630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.