Individual provider Active NPI

Mackenzie Elizabeth Campos, M.ED, LPC-S, LADC-MH

  • Addiction (Substance Use Disorder) Counselor
  • Oklahoma City, OK
National Provider Identifier
1447743471
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1383 Issued in OK
Practice address
8524 S Western Ave Ste 115
Oklahoma City, OK 73139-9248
Phone
(405) 323-2317
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 7558 OK
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1383 OK Primary

Addresses

Primary practice location

8524 S Western Ave Ste 115
Oklahoma City, OK 73139-9248

Mailing address

8404 S Country Club Dr
Oklahoma City, OK 73159-5814
Phone (405) 323-2317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
7558OKMDMental Health Counselor
1383OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Your Serenity, PLLC Addiction (Substance Use Disorder) CurrentSince Oct 27, 2024 Accepting new patients

Locations

8524 S Western Ave
Ste 115
Oklahoma City, OK 73139
Phone (405) 252-0515

10344 Greenbriar Pkwy
Oklahoma City, OK 73159
Phone (405) 691-6567

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1447743471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 S COUNTRY CLUB DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731595814",
            "telephone_number": "405-323-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 S WESTERN AVE STE 115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399248",
            "telephone_number": "405-323-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH",
        "credential": "M.ED, LPC-S, LADC-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7558",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.