Active NPIIndividual provider

Mackenzie St Louis

Counselor, Mental Health in Randolph, Massachusetts

NPI Number1740078195
Practice location
400 N Main St # 402, Randolph, MA 02368-4177
Fax
—
Last updated
April 28, 2025

Mackenzie St Louis is a Counselor, Mental Health based in Randolph, MA. Mackenzie St Louis practices in Randolph, MA. The NPI Number for Mackenzie St Louis is 1740078195. The current practice location address for Mackenzie St Louis is 400 N Main St # 402, Randolph, MA 02368-4177 and can be reached out via phone at 781-986-4800.

Provider Profile Details

NPI Number
1740078195
Provider Name
Mackenzie St Louis
Provider Entity Type
Individual
Gender
Male
Address
400 N Main St # 402, Randolph, MA 02368-4177
Phone Number
781-986-4800
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2025
Last Update Date
April 28, 2025
Certification Date
April 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 N Main St # 402
Randolph, MA 02368-4177
Zip
02368-4177
Phone Number
781-986-4800
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
Po Box 4132
Brockton, MA 02303-4132
City
Brockton
State
MA
Zip
02303-4132
Phone Number
774-240-1669

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mackenzie St Louis?

The NPI number of Mackenzie St Louis is 1740078195. It was assigned on April 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Mackenzie St Louis?

Mackenzie St Louis is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mackenzie St Louis practice?

The practice location is 400 N Main St # 402, Randolph, MA 02368-4177. The office can be reached at 781-986-4800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740078195 directly on the NPPES registry website.

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