MACKENZIE CORTESE (NPI# 1245685767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245685767 |
| Entity Type | Individual |
| Full Name | MACKENZIE CORTESE |
| Credential | M.A., LAC |
| Practice Address |
13460 N 94th Dr Suite K-3 Peoria AZ 85381-4835 |
| Practice Telephone | 6239743333 |
| Practice Fax Number | 6239743390 |
| Mailing Telephone | 6239743333 |
| Mailing Fax Number | 6239743390 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LAC-15505 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
13460 N 94TH DR SUITE K-3 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582468 | Sherry Lynn Miller | Audiologist | 13460 N 94th Dr, Ste G-2, Peoria, AZ 85381-4835 | 2006-01-12 |
| 1891207478 | Robert Miller | Pain Medicine | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-11-03 |
| 1699213405 | Kenni Uribe | Social Worker | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-02-01 |
| 1376088492 | Brent Peak | Counselor | 13460 N 94th Dr, Suite K3, Peoria, AZ 85381-4835 | 2016-12-28 |
| 1821457532 | Oculoplastic Eye Surgeons of Phoenix P.l.c. | Ophthalmology | 13460 N 94th Dr, Suite L-1, Peoria, AZ 85381-4835 | 2016-02-23 |
| 1982076824 | Smile Today Peoria, Plc | Dentist | 13460 N 94th Dr, Suite H-2, Peoria, AZ 85381-4835 | 2015-10-29 |
| 1134521370 | Susan Self | Counselor | 13460 N 94th Dr, Suite J2, Peoria, AZ 85381-4835 | 2014-09-18 |
| 1962828988 | Lori Smith | Counselor | 13460 N 94th Dr, Ste. J2, Peoria, AZ 85381-4835 | 2014-03-14 |
| 1972938330 | Christina M Pence | Counselor | 13460 N 94th Dr, Suite K3, Peoria, AZ 85381-4835 | 2013-09-04 |
| 1659612869 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 13460 N 94th Dr, Suite G-2, Peoria, AZ 85381-4835 | 2013-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863628 | Az Synergy Counseling, LLC | Counselor | 20835 N 98th Ave, Peoria, AZ 85382-5100 | 2020-05-21 |
| 1689201584 | Denise Zadwarny | Counselor | 8538 W Lawrence Ln, Peoria, AZ 85345-2537 | 2020-03-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1952756199 | Bethany Rosenfeld | Counselor | 13460 N 94th Dr Ste K3, Peoria, AZ 85381-4249 | 2016-04-25 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1326476482 | Melissa A Shane | Counselor | 3020 W. Willow Knolls Drive, Peoria, IL 61614-1002 | 2013-10-28 |
| 1538400197 | Lindsy Redman | Counselor | 15396 N 83rd Ave Ste G103, Peoria, AZ 85381-5629 | 2013-03-07 |
| 1225398415 | Curt Meiss | Counselor | 914 W Glen Ave Ste 3, Peoria, IL 61614-4886 | 2012-05-21 |
| 1912204066 | Susan J Luiten | Counselor | 7031 N Patton Ln, Peoria, IL 61614-1918 | 2011-02-24 |
| 1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.