Mackenzie Sarah Bentley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006514 Issued in MI

Practice address

408 Maple St
Homer, MI 49245-8417

Phone

(517) 803-9304

NPI assigned

Nov 18, 2011

Last updated

Oct 14, 2020By the provider in NPPES

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

Opted out of Medicare

Yes, effective Feb 21, 2024 through Feb 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1861769895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MAPLE ST",
            "city": "HOMER",
            "state": "MI",
            "postal_code": "492458417",
            "telephone_number": "517-803-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAPLE ST",
            "city": "HOMER",
            "state": "MI",
            "postal_code": "492458417",
            "telephone_number": "517-803-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Lansing Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492021621",
            "country_code": "US",
            "telephone_number": "517-784-2929",
            "fax_number": "517-784-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MACKENZIE",
        "middle_name": "SARAH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006514",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth C Adair
• Mark A Booth, MD
• Betsy Carroll Crist, PA-C
• Dr. Cassidy Kaiser, DC, LLC
• Ella E M Brown Charitable Circle (Oaklawn Hospital)
• Ella E M Brown Charitable Circle (Oaklawn Medical Group Homer)

• Marriage & Family Therapist in Homer, MI
• Providers in Homer, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.