Mackie Enterprises LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2538 Issued in OR

Legal business name

MACKIE ENTERPRISES LLC

Practice address

1134 NE 70TH Ave
Portland, OR 97213-5420

Phone

(971) 207-5010

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Keith John Mackie, LPCNPI 1275867749

Title

Owner

Phone

(971) 207-5010

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith John Mackie, LPC, CADCI

  • Professional Counselor
  • Portland, OR
  • NPI 1275867749

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1700396793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 NE 70TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135420",
            "telephone_number": "971-207-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 NE 70TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135420",
            "telephone_number": "971-207-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKIE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-207-5010",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "07-09-29",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Fairbairn Mackey, MD
• Lanai Martha Mackey, LAC
• Megan Elaine Rae Mackey
• Sandra Louise Mackey, MPAS, PA-C
• Shannon Mackey
• Brandi Reid Mackie, L.M.T.
• Keith John Mackie, LPC, CADCI
• Kristen Lauren Mackiewicz Seghete, PH.D.
• Cameron Forsythe Mackinney
• Alyssa Mackintosh, LCSW

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.