Active NPI
Mackenzie Davis Counseling Services
- Community/Behavioral Health Agency
- Tigard, OR
National Provider Identifier
1780556498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MACKENZIE DAVIS COUNSELING SERVICES
- Practice address
- 13456 SW Hawks Beard St Apt 223
Tigard, OR 97223-1912 - Phone
- (503) 495-5035
- NPI assigned
- Sep 22, 2025
- Last updated
- Sep 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mackenzie Davis, MA, LPC
- Title
- Licensed Professional Counselor
- Phone
- (425) 268-1181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
13456 SW Hawks Beard St Apt 223
Tigard, OR 97223-1912
Mailing address
13456 SW Hawks Beard St Apt 223
Tigard, OR 97223-1912
Other practice location 1
6745 SW Hampton St Ste 200
Tigard, OR 97223-8360
Phone (503) 639-9523
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Tigard, OR
- NPI 1700366556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1780556498",
"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": {
"organization_name": "MACKENZIE DAVIS COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MACKENZIE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "425-268-1181",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- 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.