Lacey Mackenzie Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC-4348 Issued in ID

Legal business name

LACEY MACKENZIE COUNSELING

Practice address

1509 N Whitley Dr
Suite 11
Fruitland, ID 83619-2259

Phone

(208) 739-0982

NPI assigned

Mar 7, 2011

Last updated

Mar 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lacey Jill Mackenzie, LPCNPI 1447480215

Title

Mental Health Counselor

Phone

(208) 739-0982

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lacey Jill Mackenzie, LPC

  • Mental Health Counselor
  • Ontario, OR
  • NPI 1447480215
  Authorized official Same address or phone

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1356649909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836720173",
            "telephone_number": "208-739-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N WHITLEY DR",
            "address_2": "SUITE 11",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192259",
            "telephone_number": "208-739-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY MACKENZIE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "208-739-0982",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-4348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nate Kinghorn
• Judd Alan Knudsen, RPH
• Kira Koenig, PTA
• Kurt E Kracaw, MD
• Adam Robert Kramer, PHARMD
• Shawna Lafollette
• Lake Counseling Services, LLC
• Eddie Lamm, HIS
• Alexandria Monique Landaverde, PHARM D.
• Larsen Counseling PLLC (Above the Clouds)

• Community/Behavioral Health Agency in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.