MACKENZIE JEWELL WHITE
NPI 1154902211
Counselor - Mental Health in San Diego, CA

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
545 LAUREL ST, SAN DIEGO, CA 92101(619) 233-4399 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Apr 21, 2021 (2 updates tracked since 2021).

About Mackenzie Jewell White NPPES

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

MACKENZIE JEWELL WHITE (NPI 1154902211) is an individual mental health provider in San Diego, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154902211
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMACKENZIE JEWELL WHITE
Location Address545 LAUREL STSan Diego, CA 92101-1634
Mailing Address545 Laurel StSan Diego, CA 92101-1634 · (619) 233-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 19, 2021
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1154902211 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
545 LAUREL ST, San Diego, CA 92101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mackenzie Jewell White is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385127539
PECOS Enrollment IDI20260316001787
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
545 LAUREL ST
SAN DIEGO, CA 92101
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
Licensed Vocational Nurse
545 LAUREL ST
SAN DIEGO, CA 92101
Student in an Organized Health Care Education/Training Program
545 LAUREL ST
SAN DIEGO, CA 92101
Student in an Organized Health Care Education/Training Program
545 LAUREL ST
SAN DIEGO, CA 92101
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
Licensed Vocational Nurse
545 LAUREL ST
SAN DIEGO, CA 92101

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 Mackenzie White's NPI number?

The NPI number for Mackenzie White is 1154902211. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Mackenzie White located?

Mackenzie White practices at 545 Laurel St, San Diego, CA 92101. The listed phone number is (619) 233-4399.

What is Mackenzie White's specialty?

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

Is Mackenzie White enrolled in Medicare?

Yes. Mackenzie White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mackenzie White was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.