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CONNIE KAY MACKENZIE LCSW
NPI 1124427901
Counselor - Mental Health in San Jose, CA

Active since August 18, 2014Opted out of Medicare · through Dec 18, 2026
440 MILL POND DR, SAN JOSE, CA 95125(408) 499-5469 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Connie Kay Mackenzie Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE KAY MACKENZIE LCSW (NPI 1124427901) is an individual mental health provider in San Jose, California, licensed in California (LCSW 61797) and active in the NPI registry since August 2014. She has opted out of Medicare through December 18, 2026.

NPPES Registry Identity

NPI1124427901
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCONNIE KAY MACKENZIECredential: LCSW
Location Address440 MILL POND DRSan Jose, CA 95125-1406
Mailing AddressPo Box 734Los Gatos, CA 95031-0734 · (408) 499-5469
Phone(408) 499-5469
Sole ProprietorYes
Enumeration DateAugust 18, 2014
✔ NPI 1124427901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LCSW 61797
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCSW 61797
440 MILL POND DR, San Jose, CA 95125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Connie Kay Mackenzie Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2024 through December 18, 2026.

Opt-Out Effective DateDecember 18, 2024
Opt-Out In Effect ThroughDecember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Mackenzie's NPI number?

The NPI number for Connie Mackenzie is 1124427901. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Where is Connie Mackenzie located?

Connie Mackenzie practices at 440 Mill Pond Dr, San Jose, CA 95125. The listed phone number is (408) 499-5469.

What is Connie Mackenzie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Connie Mackenzie enrolled in Medicare?

No. Connie Mackenzie has opted out of Medicare through December 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Connie Mackenzie was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.