Active NPI
Mackenzie Pestotnik
- Counselor
- Painesville, OH
National Provider Identifier
1083591309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.2506896
- Practice address
- 8 N State St
Painesville, OH 44077-3955 - Phone
- (440) 352-6191
- NPI assigned
- Aug 19, 2025
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2506896 | OH | Primary |
Addresses
Primary practice location
8 N State St
Painesville, OH 44077-3955
Mailing address
PO Box 1086
Willoughby, OH 44096-1086
Phone (216) 645-7242
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 |
|---|---|---|---|
| C.2506896 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1083591309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1086",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440961086",
"telephone_number": "216-645-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 N STATE ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773955",
"telephone_number": "440-352-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESTOTNIK",
"first_name": "MACKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2506896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.