Active NPI
June Mackenzie, LRC LADC I
- Mental Health Counselor
- Arlington, MA
National Provider Identifier
1124189261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 742 Massachusetts Avenue
Arlington, MA 02476-4712 - Phone
- (781) 646-7301
- Fax
- (781) 643-8726
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MA | Primary |
Addresses
Primary practice location
742 Massachusetts Avenue
Arlington, MA 02476-4712
Mailing address
1040 Waltham Street
Lexington, MA 02421-8033
Phone (781) 862-3600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004745 | Other | MA | BEACON HEALTH |
| M18633 | Other | MA | BCBS |
| 1303287 | Other | MA | MBHP |
| 703136 | Other | MA | TUFTS |
| NP01332 | Other | MA | BOSTON MED |
| 1303287 | Medicaid | MA | |
| 99618201 | Other | MA | NETWORK HLTH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edinburg Center Inc | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Bedford, MA
- NPI 1073617353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124189261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 WALTHAM STREET",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024218033",
"telephone_number": "781-862-3600",
"fax_number": "781-863-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 MASSACHUSETTS AVENUE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764712",
"telephone_number": "781-646-7301",
"fax_number": "781-643-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKENZIE",
"first_name": "JUNE",
"name_prefix": "Ms.",
"credential": "LRC LADC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "703136",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MED",
"identifier": "NP01332",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HLTH",
"identifier": "99618201",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.