Mackenzie Deforest, MS, NCC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

7741 Roswell Rd Ste B
Atlanta, GA 30350-4845

Phone

(404) 613-1656

NPI assigned

Mar 17, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1982289252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 JEFFERSON CIR N",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412690",
            "telephone_number": "707-122-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 ROSWELL RD STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504845",
            "telephone_number": "404-613-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Fayetteville Rd SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303162921",
            "country_code": "US",
            "telephone_number": "404-486-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFOREST",
        "first_name": "MACKENZIE",
        "name_prefix": "Ms.",
        "credential": "MS, NCC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.deforest@chris180.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7741 Roswell Rd Ste B",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303504845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared A. Defife, PH.D.
• Zachariah Defilipp, M.D.
• Nick A Defilippis, PH.D.
• Nicholas Deflumeri, DC
• Nesha Natasha Defoe
• Brooke L Defrancisco, CRNP
• Archer Keith Degraaff, DO
• Courtney Degraffenreid-Elliott, OT
• Dechelle Degraffenried, LCSW
• John Orleans Degraft Hanson

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.