Mackenzie Wild, MA NCC MFT-A

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

R8141 Issued in OR

Practice address

1029 May St Ste G
Hood River, OR 97031-1514

Phone

(541) 203-0912

NPI assigned

Dec 12, 2023

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)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1619745338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970310452",
            "telephone_number": "541-203-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MAY ST STE G",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311514",
            "telephone_number": "541-203-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "MACKENZIE",
        "credential": "MA NCC MFT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R8141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey L White
• Megan White, DMD
• Michael Brian Whitehead, MSW
• Laura McWilliam Whiting, PA-C
• Whole Child Therapeutics
• Thomas J Wilhelm, MD
• Richelle Wilhite
• Gwendolyn Evan Williams, LCSW
• Jennifer Saam Williams
• Katie Elyse Williams, DACM, MACOM

• Marriage & Family Therapist in Hood River, OR
• Providers in Hood River, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.