Active NPI
Mackenzie Esson, LPCC
- Professional Counselor
- Faribault, MN
National Provider Identifier
1366019937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC05162
- Practice address
- 625 3Rd Ave NW
Faribault, MN 55021-4219 - Phone
- (763) 780-3307
- Fax
- (763) 780-3306
- NPI assigned
- Jun 10, 2021
- Last updated
- Sep 15, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC05162 | MN | Primary |
Addresses
Primary practice location
625 3Rd Ave NW
Faribault, MN 55021-4219
Mailing address
1551 Payne Ave
Saint Paul, MN 55130-3218
Phone (763) 780-3307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3601 Minnesota Dr
Suite 170
Bloomington, MN 55435-5202
Phone (753) 421-5535
625 3Rd Ave NW
Faribault, MN 55021-4219
Phone (833) 777-2781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC05162 | MN | MD | Professional Counselor |
| 5162 | MN | MD | Psychologist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1548428170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1366019937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551303218",
"telephone_number": "763-780-3307",
"fax_number": "763-780-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 3RD AVE NW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550214219",
"telephone_number": "763-780-3307",
"fax_number": "763-780-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSON",
"first_name": "MACKENZIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC05162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.