Individual provider Active NPI

Mackenzie Leuenhagen, MA CCC-SLP

  • Speech-Language Pathologist
  • Reno, NV
National Provider Identifier
1437880572
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-3306 Issued in NV
Practice address
6630 S McCarran Blvd Ste 201
Reno, NV 89509-6145
Phone
(775) 870-3680
Fax
(775) 384-9494
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-3306 NV Primary

Addresses

Primary practice location

6630 S McCarran Blvd Ste 201
Reno, NV 89509-6145

Mailing address

6630 S McCarran Blvd Ste 201
Reno, NV 89509-6145
Phone (775) 870-3680

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1437880572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-870-3680",
            "fax_number": "775-384-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-870-3680",
            "fax_number": "775-384-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUENHAGEN",
        "first_name": "MACKENZIE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.