McKenzie Surface

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2020 N Academy Blvd Ste 155
Colorado Springs, CO 80909-1569

Phone

(719) 358-6637

NPI assigned

Aug 3, 2021

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beyond the Mirror, LLC

  • Community/Behavioral Health Agency
  • Fort Collins, CO
  • NPI 1265661169
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1427722529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 CRITERION DR UNIT 62505",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809621007",
            "telephone_number": "719-487-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091569",
            "telephone_number": "719-358-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURFACE",
        "first_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COUNSELING ASSOCIATION",
            "identifier": "6593396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Support, LLC (Support, Inc)
• Supported Path Mental Health PLLC
• Supreme Limo LLC
• Brian Anthony Surage, PT, MOMT, CSCS
• Neal Surani, DC
• Surgery Affiliates, LLC (Pinnacle Surgery Center)
• Derrick Surges
• Surgical Center at Premier LLC
• Surgical Center of Peak Endoscopy, LLC
• Surgical Savvy LLC

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.