Mackenzie Rene Harris, LPC, LICDC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2204361 Issued in OH

Practice address

8963 Kingsridge Dr Ste a
Dayton, OH 45458-1623

Phone

(606) 485-9323

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Protea Behavioral Health Counseling, PLLC

  • Professional Counselor
  • Somerset, KY
  • NPI 1205429800

  Addiction (Substance Use Disorder)

  NPD
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  NPD (past)
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1952734469
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1164071536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8963 KINGSRIDGE DR STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581623",
            "telephone_number": "606-485-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8963 KINGSRIDGE DR STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581623",
            "telephone_number": "606-485-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MACKENZIE",
        "middle_name": "RENE",
        "credential": "LPC, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2204361",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latosha Harris
• Lauren Harris, AGCNS-BC
• Lewis Anthony Harris Jr.
• Lisa Louise Harris
• Mackenzie Harris
• Marie Harris
• Marietta L Harris
• Marqketa Harris, LPN
• Martha Lynn Harris, LPN
• Melissa Harris

• Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.