Mackenzie R Blackwell

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

C-179 Issued in LA

Practice address

6799 E Texas St
Bossier City, LA 71111-6931

Phone

(318) 616-2336

Fax

(318) 616-2336

NPI assigned

Aug 19, 2025

Last updated

Aug 19, 2025By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trippel Interests, LLC

  dba Generations of Hope Pediatric Therapy

  • Pediatric Occupational Therapist
  • Bossier City, LA
  • NPI 1447020284

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1528945839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 E TEXAS ST",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116931",
            "telephone_number": "318-616-2336",
            "fax_number": "318-616-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 E TEXAS ST",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116931",
            "telephone_number": "318-616-2336",
            "fax_number": "318-616-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "MACKENZIE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "LA",
            "license": "C-179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Eve Bixel
• BKD Bossier City Operator, LLC (Brookdale Bossier City)
• Gina Black
• Nikita Black, MSW
• Miranda Rashay Blackmon, PMHNP STUDENT
• Shemary Blake
• Kaitlyn Bland Rogers, MD
• Barbara Lynn Bland
• Leonard Gregory Blanton, MD
• Kristopher Brent Blaylock, RPH

• Assistant Behavior Analyst in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Assistant Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.