Mackie Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MACKIE WELLNESS LLC

Practice address

701 N 5TH St
Lebanon, OR 97355-9559

Phone

(458) 230-5248

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Kenneth Mackie

Title

President

Phone

(458) 230-5248

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1124601448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 5TH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973559559",
            "telephone_number": "458-230-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 5TH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973559559",
            "telephone_number": "458-230-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKIE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "458-230-5248"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellese Lupori
• Daniel J Lutotn, LMT
• Brian P Lynch, D.C.
• Emily Ma
• Naomi Renee Mackey, RN
• Nikki Adele Mackinder, COTA
• Whitney Macnab
• Sarah J Madison, LD
• Arielle Marie Naguiat Magpoc
• Shawn Mahmood

• Clinical Social Worker in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.