Individual provider Active NPI

Mackenzie Grace Dressing, MA

  • Marriage & Family Therapist
  • Alexandria, VA
National Provider Identifier
1972008993
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717002037 Issued in VA
Practice address
6210 Old Franconia Rd Unit a
Alexandria, VA 22310-2529
Phone
(252) 518-5937
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124064 CA
Marriage & Family Therapist 106H00000X 117319 CA
Marriage & Family Therapist 106H00000X 0717002037 VA Primary

Addresses

Primary practice location

6210 Old Franconia Rd Unit a
Alexandria, VA 22310-2529

Mailing address

6210 Old Franconia Rd Unit a
Alexandria, VA 22310-2529
Phone (252) 518-5937

Other practice location 1

892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687

Other practice location 2

7917 Ostrow St Ste A
San Diego, CA 92111
Phone (858) 300-8282

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL mgreenlee@freedomwithincenter.com
CONNECT URL Mackenzie.dressing@lifebulb.com

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
I20241025001937 VA Practitioner - Marriage and Family Therapist 2062945223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

2340 Commonwealth Dr
Suite 101
Charlottesville, VA 22901-1634
Phone (732) 451-3895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
124064CAMDClinical Social Worker
117319CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendra Penski Licensed Clinical Social Worker Inc Mental Health CurrentSince Feb 1, 2021 Accepting new patients
Lifebulb LLC Mental Health CurrentSince Sep 10, 2024 Accepting new patients
Community Research Foundation Inc CurrentSince Dec 1, 2019 Accepting new patients
Thrive Counseling LLC Mental Health PastSince Sep 1, 2021 Accepting new patients

Locations

3737 Moraga Ave
Ste A203
San Diego, CA 92117
Phone (619) 363-1920

7917 Ostrow St
Ste A
San Diego, CA 92111
Phone (858) 300-8282

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

6210 Old Franconia Rd
#A
Alexandria, VA 22310
Phone (703) 955-3703

2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895

Organizations & group practices 4

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1972008993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 OLD FRANCONIA RD UNIT A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102529",
            "telephone_number": "252-518-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 OLD FRANCONIA RD UNIT A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102529",
            "telephone_number": "252-518-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7917 Ostrow St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92111",
            "country_code": "US",
            "telephone_number": "858-300-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRESSING",
        "first_name": "MACKENZIE",
        "middle_name": "GRACE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124064",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117319",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mgreenlee@freedomwithincenter.com",
            "affiliation": "N",
            "address_1": "3737 Moraga Ave Ste A203",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921175491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mackenzie.dressing@lifebulb.com",
            "affiliation": "N",
            "address_1": "6210 Old Franconia Rd Unit A",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223102529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.