Mackenzie Lewis LMFT

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MACKENZIE LEWIS LMFT

Practice address

696 N Spence Ave Ste C
Goldsboro, NC 27534-4354

Phone

(252) 227-9346

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Mackenzie Lewis, LMFTNPI 1518192061

Title

Owner/Clinician

Phone

(252) 227-9346

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Mackenzie King Lewis, M.S., LMFT

  • Marriage & Family Therapist
  • La Grange, NC
  • NPI 1518192061
  NPD (past) Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1710529185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALDEN WOODS DR",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285518664",
            "telephone_number": "252-227-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "252-227-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKENZIE LEWIS LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "252-227-9346",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mackenzie-lewis.clientsecure.me",
            "affiliation": "N",
            "address_1": "696 N Spence Ave Ste C",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275344354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory J Lutcavage, D.D.S.
• Luxottica of America Inc. (Lenscrafters #1072)
• Asia Danyell Mabry, PMHNP
• John Macdonald
• Katherine Tayloe Macdonald, M.D.
• Janice Lee Maddox, CRNA
• George Jukur Mafwil
• Magnolia Community Services, LLC
• Hercules Tarambirwa Maguma, RPH
• Deborah Mahoney, P.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.