Mackenzie Anne Clough, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0019722 Issued in CO

Practice address

10730 E Bethany Dr Ste 355
Aurora, CO 80014-2806

Phone

(720) 413-0980

Fax

(877) 599-0808

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Autism West Behavioral Partners, Inc.

  • Behavior Analyst
  • Aurora, CO
  • NPI 1053815118

  Professional

  Medicare reassignment NPD
• Autism West Behavioral Partners, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1720897374

  Professional

  NPD
• Autism West Behavioral Partners, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Westminster, CO
  • NPI 1386453934

  Professional

  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1942873773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 E BETHANY DR STE 355",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142806",
            "telephone_number": "720-413-0980",
            "fax_number": "877-599-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 E BETHANY DR STE 355",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142806",
            "telephone_number": "720-413-0980",
            "fax_number": "877-599-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "MACKENZIE",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jeanne Clore, PA-C
• Closer to Home LLC
• Huong Nguyen Closmann, D.D.S.
• James Joseph Closmann, DDS
• Samuel Gregory Cloud, MD
• Lawrence A Cloutier, PA
• Robert Clower, PA
• Benjamin Hampton Cloyd, M.D.
• Cara Clure, M.D.
• Robert Clyman, MD

• Professional Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.