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KELLY MACKENZIE MMFT,BS
NPI 1396120663
Counselor in Waterbury, CT

Active since July 28, 2015
141 E MAIN ST, HOME BASED SERVICES-3RD FLOOR, WATERBURY, CT 06702(203) 575-0486(203) 575-1817 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Mackenzie Mmft,bs NPPES

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

KELLY MACKENZIE MMFT,BS (NPI 1396120663) is an individual counselor in Waterbury, Connecticut and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1396120663
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY MACKENZIECredential: MMFT,BS
Location Address141 E MAIN ST, HOME BASED SERVICES-3RD FLOORWaterbury, CT 06702-2310
Mailing Address141 E Main St, 4th Floor AdministrationWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006
Phone(203) 575-0486
Fax(203) 575-1817
Sole ProprietorNo
Enumeration DateJuly 28, 2015
✔ NPI 1396120663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
141 E MAIN ST, Waterbury, CT 06702
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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.

MYCO FOY MS
Counselor (Mental Health)
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
DANIELLE DAVENPORT BA
Community Health Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
JACQUELINE HOFLER
Community Health Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
FATOU K TOURE
Social Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
MARDEA ZOR MSW
Counselor
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
KEMAR BAILEY BA
Counselor (Mental Health)
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 575-0466
ERIN HERB
Student in an Organized Health Care Education/Training Program
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
SUSAN BROADUS
Counselor
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000

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 Kelly Mackenzie's NPI number?

The NPI number for Kelly Mackenzie is 1396120663. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Kelly Mackenzie located?

Kelly Mackenzie practices at 141 E Main St Home Based Services-3rd Floor, Waterbury, CT 06702. The listed phone number is (203) 575-0486.

What is Kelly Mackenzie's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mackenzie was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.