NPIMap

Organization Active NPI

Kevin J. McKenzie, LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1780882571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMHP2211 Issued in NE
Legal business name
KEVIN J. MCKENZIE, LLC
Practice address
8021 Chicago St
Omaha, NE 68114-3533
Phone
(402) 502-1024
Fax
(402) 502-1555
NPI assigned
Jul 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin James McKenzie, LCSW, LMHPNPI 1295701696
Title
Owner
Phone
(402) 502-1024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LMHP2211 NE Primary
Community/Behavioral Health Agency 251S00000X LCSW995 NE

Addresses

Primary practice location

8021 Chicago St
Omaha, NE 68114-3533

Mailing address

8021 Chicago St
Omaha, NE 68114-3533
Phone (402) 502-1024

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780882571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 CHICAGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143533",
            "telephone_number": "402-502-1024",
            "fax_number": "402-502-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 CHICAGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143533",
            "telephone_number": "402-502-1024",
            "fax_number": "402-502-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. MCKENZIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-502-1024",
        "authorized_official_credential": "LCSW, LMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "LMHP2211",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "LCSW995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.