MACKENZIE M BOLDEN M.S.
NPI 1417596925
Counselor in Vancouver, WA

Active since December 31, 2019
10000 NE 7TH AVE STE 403, VANCOUVER, WA 98685(360) 952-3070 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2025, Dec 7, 2024, Jul 31, 2024 and 1 more (4 updates tracked since 2019).

About Mackenzie M Bolden M.s. NPPES

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

MACKENZIE M BOLDEN M.S. (NPI 1417596925) is an individual counselor in Vancouver, Washington, licensed in Washington (61515373) and active in the NPI registry since December 2019. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1417596925
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMACKENZIE M BOLDENCredential: M.S.
Location Address10000 NE 7TH AVE STE 403Vancouver, WA 98685-4548
Mailing Address6509 Se Carlton StPortland, OR 97206-6627 · (509) 947-8327
Sole ProprietorNo
Enumeration DateDecember 31, 2019
Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1417596925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · 61515373
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.

10000 NE 7TH AVE STE 403, Vancouver, WA 98685

Other Names 1

Former Name (1)Mackenzie Davidson

Secondary Practice Location 1

Location 16509 SE Carlton StPortland, OR 97206-6627 · Phone (509) 947-8327

Accepted Insurance

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685
Counselor (Mental Health)
10000 NE 7TH AVE STE 403
VANCOUVER, WA 98685

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417596925, enumerated as an "individual" on December 31, 2019.

The provider is located at 10000 NE 7TH AVE STE 403 VANCOUVER, WA 98685 and the phone number is (360) 952-3070.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.