Dana McKenzie, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008435 Issued in VA

Practice address

3959 Electric Rd Ste 125
Roanoke, VA 24018-4559

Phone

(540) 519-9457

NPI assigned

Jun 19, 2019

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Restore Family Counseling, Inc.

  • Professional Counselor
  • Roanoke, VA
  • NPI 1063072312
  NPD (past) Authorized official

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1689234890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EUGENE DR NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 125",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184559",
            "telephone_number": "540-519-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "DANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra McIlwain, MS,CCC-SLP
• Kimberly Covell McInnis, OTD, MS, OTR/L
• Emily McKee
• Heather McKee, FNP-C
• Rebekah Cocke McKelvey, FNP
• Ralph Randolph McKenzie Jr., D.O.
• Timothy B McKernan, M.D.
• Rachel Rae McKinley
• Amy Janelle McKinney, LPN
• Corinne McKinney, LCSW

• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.