Makenzie Rae Clevinger, MFTC, CACII

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFTC.0013460 Issued in CO

Practice address

1724 N Gilpin St
Denver, CO 80218-1206

Phone

(720) 705-5026

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1902173875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371674",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802375674",
            "telephone_number": "720-705-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181206",
            "telephone_number": "720-705-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVINGER",
        "first_name": "MAKENZIE",
        "middle_name": "RAE",
        "credential": "MFTC, CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "MFTC.0013460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Clenney
• Andrew T Cleveland, PA-C
• Patrick William Cleveland, LPC
• Clever Dental
• Kristin Brianne Clever, R.N.
• Hannah Cliff
• Clifford H. Siegel, M.D., P.C.
• Allison Clifford, BCBA
• Andrea K. Clifford, LCSW
• Scott D Clift-Willoughby, MA

• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.