MS. STACY ANN MCKENZIE (NPI# 1568559110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568559110 |
| Entity Type | Individual |
| Full Name | MS. STACY ANN MCKENZIE |
| Credential | LPC |
| Practice Address |
5800 Highland Dr Salt Lake City UT 84121-1359 |
| Mailing Address |
2416 Sego Lily Dr Sandy UT 84092-4435 |
| Practice Telephone | 8012729980 |
| Practice Fax Number | 8012729976 |
| Mailing Telephone | 8019423603 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
5153757-6004 | UT | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
5153757-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
5800 HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730443797 | Stuart Alexander Schreyer | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-06-25 |
| 1548524507 | Lindsey Heslop | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-06-25 |
| 1639430366 | Ephraim Jaussi | Social Worker | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-05-29 |
| 1083975718 | George Andrew Fish | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-05-29 |
| 1972864601 | Kami Lyn Marsh | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-05-29 |
| 1962763698 | Christian Egan | Counselor | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-05-29 |
| 1427319151 | Andrew Jarvies | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-05-29 |
| 1538420260 | Megan Dautel | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2012-05-29 |
| 1457629347 | Adrienne Noakes | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2011-12-06 |
| 1821365602 | Ryan Farr | Behavioral Analyst | 5800 Highland Dr, Salt Lake City, UT 84121-1359 | 2011-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1689292658 | Truu Management | Counselor | 1554 S State St, Salt Lake City, UT 84115-1632 | 2020-07-07 |
| 1275169823 | Ashley White | Counselor | 1190 S 300 E, Salt Lake City, UT 84111-4636 | 2020-03-16 |
| 1184257107 | Richard Gregg Buxton | Counselor | 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 | 2020-02-18 |
| 1609416254 | Rmc Counseling | Counselor | 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 | 2020-01-12 |
| 1114563681 | Caroline Graham | Counselor | 131 E 700 S, Salt Lake City, UT 84111-3805 | 2019-11-20 |
| 1629622303 | Healing Feathers LLC | Counselor | 1174 E Graystone Way Ste 10, Salt Lake City, UT 84106-2671 | 2019-07-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on MS. STACY ANN MCKENZIE.
| 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.