Individual provider Active NPI

Mackenzie Collen, PSY.D.

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1891547287
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810009286 Issued in VA
Practice address
816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone
(804) 375-4665
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810009286 VA
Clinical Psychologist 103TC0700X 0810009286 VA Primary

Addresses

Primary practice location

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645

Mailing address

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218003801 VA Practitioner - Clinical Psychologist 1153801055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

816 Greenbrier Cir
Suite 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810009286VAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Feb 6, 2026 Accepting new patients

Locations

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1891547287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202645",
            "telephone_number": "757-301-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202645",
            "telephone_number": "804-375-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEN",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810009286",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810009286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.