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MACKENZIE BREITHAUPT
NPI 1417697095
Peer Specialist in Traverse City, MI

Active since March 31, 2022
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684(231) 965-3762 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Breithaupt NPPES

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

MACKENZIE BREITHAUPT (NPI 1417697095) is an individual peer specialist in Traverse City, Michigan and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1417697095
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMACKENZIE BREITHAUPT
Location Address105 HALL ST UNIT ATraverse City, MI 49684-2288
Mailing Address105 Hall St Unit ATraverse City, MI 49684-2288 · (231) 965-3762
Phone(231) 965-3762
Sole ProprietorNo
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1417697095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
105 HALL ST UNIT A, Traverse City, MI 49684
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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.

KARLA EISNER
Peer Specialist
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4850
SHEALI THAYER
Community Health Worker
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4850
EMILY LANE-WATERS
Community Health Worker
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2031
RONDA JANSSEN
Peer Specialist
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-4852
CATHERINE W EDWARDS LLBSW
Case Manager/Care Coordinator
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 645-6775
CODA MIX
Peer Specialist
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 493-2890
MELISSA ANN DONICK-ROUSSE RN
Registered Nurse
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-4451
DARLENE RUTH BUCHNER LMSW
Social Worker (Clinical)
105 HALL ST UNIT A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-4281

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 Breithaupt's NPI number?

The NPI number for Mackenzie Breithaupt is 1417697095. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Mackenzie Breithaupt located?

Mackenzie Breithaupt practices at 105 Hall St Unit A, Traverse City, MI 49684. The listed phone number is (231) 965-3762.

What is Mackenzie Breithaupt's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Breithaupt was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.