Individual provider Active NPI

Stacy Ann McKenzie, LPC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1568559110
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5153757-6004 Issued in UT
Practice address
5800 Highland Dr
Salt Lake City, UT 84121-1359
Phone
(801) 272-9980
Fax
(801) 272-9976
NPI assigned
Oct 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 Counselor 101YM0800X 5153757-6004 UT Primary
Professional Counselor 101YP2500X 5153757-6004 UT

Addresses

Primary practice location

5800 Highland Dr
Salt Lake City, UT 84121-1359

Mailing address

2416 Sego Lily Dr
Sandy, UT 84092-4435
Phone (801) 942-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102001223 UT Practitioner - Mental Health Counselor 7012371974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5153757-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Counseling & Assessment Inc Mental Health CurrentSince Aug 23, 2023 Accepting new patients
Clear View Counseling Past Accepting new patients

Locations

6076 S 900 E
Ste 102
Murray, UT 84121
Phone (801) 347-9223

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568559110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 SEGO LILY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924435",
            "telephone_number": "801-942-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211359",
            "telephone_number": "801-272-9980",
            "fax_number": "801-272-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5153757-6004",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "5153757-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.