Madison Elizabeth McKenzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255476 Issued in KY

Practice address

1030 Monarch St Ste 100
Lexington, KY 40513-1820

Phone

(216) 468-5000

Fax

(216) 456-8128

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Louisville School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical, KY

  Medicare reassignment Care Compare group NPD
• Brightview, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1659769446

  KY

  Medicare reassignment NPD
• Lesa Young Counseling, LLC

  • Mental Health Counselor
  • Georgetown, KY
  • NPI 1750854170
  Medicare reassignment
• Brightview LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Asheboro, NC
  • NPI 1962163782
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1134635774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131820",
            "telephone_number": "216-468-5000",
            "fax_number": "216-456-8128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Freedom Park Dr",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410175130",
            "country_code": "US",
            "telephone_number": "859-331-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1154A Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249330",
            "country_code": "US",
            "telephone_number": "502-868-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 N Laurel Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407419075",
            "country_code": "US",
            "telephone_number": "606-712-0043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9702 Stonestreet Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402726812",
            "country_code": "US",
            "telephone_number": "502-749-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MADISON",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "252947",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100721790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin James McKenzie, MD
• Catherine Therese McKenzie, LCSW
• Elizabeth McKenzie
• Isaiah Lyan McKenzie
• Kayellen McKenzie, MA, LPCC
• Matthew McKenzie
• Sara Anne Marie McKenzie, DO
• John Wade McKeown, MD
• Brigette McKinley, PEER SUPPORT
• Brittany McKinley

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.