Individual provider Active NPI

Brenda McKenzie, MS, MED, LPC

  • Mental Health Counselor
  • Lewiston, ID
National Provider Identifier
1396986709
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-5676 Issued in ID
Practice address
531 Bryden Ave
Lewiston, ID 83501-4438
Phone
(208) 798-1646
Fax
(208) 798-5568
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-3998 ID
Mental Health Counselor 101YM0800X LCPC-5676 ID Primary

Addresses

Primary practice location

531 Bryden Ave
Lewiston, ID 83501-4438

Mailing address

827 Grelle Ave
Lewiston, ID 83501-5209
Phone (208) 798-1646

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
LCPC-5676IDMDMental Health Counselor
LPC-3998IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Counseling Services, Inc. Mental Health Current Accepting new patients

Locations

531 Bryden Ave
Lewiston, ID 83501
Phone (208) 798-1646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1396986709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 GRELLE AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015209",
            "telephone_number": "208-798-1646",
            "fax_number": "208-798-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014438",
            "telephone_number": "208-798-1646",
            "fax_number": "208-798-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "BRENDA",
        "credential": "MS, MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-3998",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.