Mackenzie E Thorsrud, MED, NCC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-20241 Issued in AZ

Practice address

2020 S McClintock Dr Ste 101
Tempe, AZ 85282-2691

Phone

(520) 955-8507

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzie E Deakins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1104594670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822691",
            "telephone_number": "520-955-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822691",
            "telephone_number": "520-955-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSRUD",
        "first_name": "MACKENZIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MED, NCC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "DEAKINS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Kristin Thoresen, M.S. CCC-SLP
• Kiera Thorn
• Anthony Gene Chase Thornton
• Fatima Michelle Thornton, HHWC
• Patricia Ann Thornton, RN, MS
• Roxane Renee Thorstad, PSYD
• Terry Michael Thorstad, LPC
• Thriving Mind Solutions, PLLC
• Sandra Mari Thron, MA ED.
• Lilly Ann Mabel Thurlow

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.