Organization Active NPI

McKenzie Tavella LLC

  • Professional Counselor
  • Fairfield, CT
National Provider Identifier
1609784644
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MCKENZIE TAVELLA LLC
Practice address
45 Sherman St
Fairfield, CT 06824-5874
Phone
(203) 984-4838
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
McKenzie M Tavella
Title
Owner / LPC
Phone
(203) 984-4838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

45 Sherman St
Fairfield, CT 06824-5874

Mailing address

45 Sherman St
Fairfield, CT 06824-5874

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1609784644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SHERMAN ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SHERMAN ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245874",
            "telephone_number": "203-984-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE TAVELLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "TAVELLA",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / LPC",
        "authorized_official_telephone_number": "203-984-4838"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.