Active NPI
Lacy Brenna McKenzie, MS NCC LPC
- Mental Health Counselor
- Klamath Falls, OR
National Provider Identifier
1659371664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1364
- Practice address
- 3949 S 6TH St
Klamath Falls, OR 97603-4746 - Phone
- (800) 552-6290
- Fax
- (541) 880-0560
- NPI assigned
- Aug 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C1364 | OR | Primary |
Addresses
Primary practice location
3949 S 6TH St
Klamath Falls, OR 97603-4746
Mailing address
3949 S 6TH St
Klamath Falls, OR 97603-4746
Phone (800) 552-6290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129861 | Medicaid | OR | |
| C1364 | Other | OR | CERTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1364 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659371664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034746",
"telephone_number": "800-552-6290",
"fax_number": "541-880-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034746",
"telephone_number": "800-552-6290",
"fax_number": "541-880-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "LACY",
"middle_name": "BRENNA",
"credential": "MS NCC LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129861",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "C1364",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.