Individual provider Active NPI

Mackenzie Renee Ehalt, RBT, SRNA

  • Behavior Technician
  • Louisville, KY
National Provider Identifier
1083538714
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-518272 Issued in KY
Practice address
10720 Plantside Dr
Louisville, KY 40299-3894
Phone
(502) 260-5571
NPI assigned
Aug 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 4047740 KY
Behavior Technician 106S00000X RBT-26-518272 KY Primary

Addresses

Primary practice location

10720 Plantside Dr
Louisville, KY 40299-3894

Mailing address

5205 Baywood Dr
Louisville, KY 40241-1314
Phone (502) 644-1198

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

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1083538714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 BAYWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411314",
            "telephone_number": "502-644-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993894",
            "telephone_number": "502-260-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHALT",
        "first_name": "MACKENZIE",
        "middle_name": "RENEE",
        "credential": "RBT, SRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "KY",
            "license": "4047740",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-26-518272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.