Mackenzie Gaines

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3315 Springbank LN Ste 300
Charlotte, NC 28226-3198

Phone

(704) 969-2597

NPI assigned

Dec 22, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Cotswold Clinician Support Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568
  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1467049601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263198",
            "telephone_number": "704-503-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263198",
            "telephone_number": "704-969-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rose Gaides, BCBA
• Jacie Madison Gailey, LCMHCA
• Heather A Gailunas, P.T.
• Dion Lydell Gaines
• Jeremy Alan Gaines, PA-C
• Sara Morgyn Gaines
• Shaun Gaines
• Cheryl D Gainey, PHARMD
• Kiota Gainey
• Byron Gaing, M.D.

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.