Individual provider Active NPI

Mackenzie Alexandra Hicks Harwood, MA

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1679942742
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT4388 Issued in FL
Practice address
2429 Summerfield Rd
Winter Park, FL 32792-5010
Phone
(321) 439-6354
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X MT4388 FL Primary

Addresses

Primary practice location

2429 Summerfield Rd
Winter Park, FL 32792-5010

Mailing address

2429 Summerfield Rd
Winter Park, FL 32792-5010
Phone (321) 439-6354

Other names 1

  • Miss Mackenzie Alexandra Hicks Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
MT4388FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinder Konsulting & Parents Too, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1679942742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 SUMMERFIELD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925010",
            "telephone_number": "321-439-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 SUMMERFIELD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925010",
            "telephone_number": "321-439-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS HARWOOD",
        "first_name": "MACKENZIE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "HICKS",
            "middle_name": "ALEXANDRA",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.