Jason McKenzie, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1296 Issued in KY

Practice address

105 Brandon Way
Suite a
Mount Sterling, KY 40353-8500

Phone

(859) 762-0175

NPI assigned

Apr 9, 2010

Last updated

Nov 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1477879963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300726",
            "telephone_number": "859-762-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRANDON WAY",
            "address_2": "SUITE A",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403538500",
            "telephone_number": "859-762-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JASON",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D McGinnis, PHARMD
• Jeffrey B McGinnis, M.D.
• Morgan Alexis McGinnis, DMD
• Kelsey McGlone
• Hannah T McKenzie, DMD
• Macey Jo McKenzie
• Aaron McKinney
• Donald R McLaurin, DDS, MD
• Chelsea Meadows
• Means Adult Primary Care Clinic of Kentucky PLLC

• Addiction (Substance Use Disorder) Counselor in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.