Gena McKenzie, LPC, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15928-132 Issued in WI

Practice address

903 Boyce Dr
Rhinelander, WI 54501

Phone

(715) 490-4011

NPI assigned

Mar 21, 2013

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1891037487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BOYCE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013836",
            "telephone_number": "715-490-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BOYCE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-490-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Langlade Rd",
            "address_purpose": "LOCATION",
            "city": "Antigo",
            "state": "WI",
            "postal_code": "544092762",
            "country_code": "US",
            "telephone_number": "715-627-6694",
            "fax_number": "715-845-5398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "GENA",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15928-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McAtee
• Byron C McDonald, CRNA
• Marisa McGuire
• Thomas Francis McGuire, MA LPC
• MCHS Hospitals Inc
• Marina Montserrat McKissack, PA-C
• Larry B McKitrick, D.C.
• Donald D Meeder, L.P.C.
• Christian M. Meier, BA, SAC-IT
• Stephen W Meyer, PAC

• All providers in Rhinelander, WI
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.