McKenzie A. Povlinko, LPCC, MFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0500537-SUPV Issued in OH

Practice address

945 River Rd
Granville, OH 43023-9534

Phone

(740) 587-5252

Fax

(740) 587-2571

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Debbie E. Dickson Counseling, Inc

  • Mental Health Counselor
  • Coshocton, OH
  • NPI 1225189046
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1497922892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230481",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239534",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVLINKO",
        "first_name": "MCKENZIE",
        "middle_name": "A.",
        "credential": "LPCC, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.0600017",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500537-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Granville, OH
• Providers in Granville, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.