Mackenzie Davis, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C10384 Issued in OR

Practice address

13456 SW Hawks Beard St Apt 223
Tigard, OR 97223-1912

Phone

(503) 495-5035

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mackenzie Davis Counseling Services

  • Community/Behavioral Health Agency
  • Tigard, OR
  • NPI 1780556498
  NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1700366556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13456 SW HAWKS BEARD ST APT 223",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13456 SW HAWKS BEARD ST APT 223",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231912",
            "telephone_number": "503-495-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 SW Hampton St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238360",
            "country_code": "US",
            "telephone_number": "503-639-9523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MACKENZIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Davis
• Elizabeth R. Davis, O.D.
• Justin Michael Davis, D.C.
• Lametrius Tarell Davis Sr.
• Larson Davis
• Matthew John Davis, QMHP
• Nathaniel Davis Jr.
• Lauren Genevieve Davison
• Madeline Dawson
• Brian Day

• Professional Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.