BRENDA MCKENZIE MS, MED, LPC
NPI 1396986709
Counselor - Mental Health in Lewiston, ID
Active since March 13, 2009
About Brenda Mckenzie Ms, Med, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA MCKENZIE MS, MED, LPC (NPI 1396986709) is an individual mental health provider in Lewiston, Idaho, licensed in Idaho (LCPC-5676) and active in the NPI registry since March 2009.
NPPES Registry Identity
NPI1396986709
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDA MCKENZIECredential: MS, MED, LPC
Location Address531 BRYDEN AVELewiston, ID 83501-4438
Mailing Address827 Grelle AveLewiston, ID 83501-5209 · (208) 798-1646 · Fax (208) 798-5568
Phone(208) 798-1646
Fax(208) 798-5568
Sole ProprietorNo
Enumeration DateMarch 13, 2009
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1396986709 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 ID · LCPC-5676
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-3998 (ID)
531 BRYDEN AVE, Lewiston, ID 83501
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396986709, enumerated as an "individual" on March 13, 2009.
The provider is located at 531 BRYDEN AVE LEWISTON, ID 83501 and the phone number is (208) 798-1646.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.