Active NPI
McKenzie Anderson, QMHA/ENCC
- Case Manager/Care Coordinator
- Lakeview, OR
National Provider Identifier
1235888447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 35 S G St
Lakeview, OR 97630-1817 - Phone
- (541) 947-6021
- Fax
- (541) 219-8114
- NPI assigned
- Mar 23, 2022
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
35 S G St
Lakeview, OR 97630-1817
Mailing address
35 S G St
Lakeview, OR 97630-1817
Phone (541) 947-6021
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 |
|---|---|---|---|
| Lake Health District | Mental Health | Current | Accepting new patients |
Locations
35 S G St
Lakeview, OR 97630
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1235888447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 S G ST",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301817",
"telephone_number": "541-947-6021",
"fax_number": "541-219-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 S G ST",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301817",
"telephone_number": "541-947-6021",
"fax_number": "541-219-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MCKENZIE",
"credential": "QMHA/ENCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.