Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMARA MCKENZIE
NPI 1558807701
Counselor - Mental Health in Jacksonville, FL

Active since January 12, 2017PECOS EnrolledAccepts Medicare Assignment
2320 N LIBERTY ST, JACKSONVILLE, FL 32206(904) 608-1775 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Apr 27, 2026, Dec 5, 2023 and 1 more (4 updates tracked since 2017).

About Tamara Mckenzie NPPES

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

TAMARA MCKENZIE (NPI 1558807701) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH23024) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558807701
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMARA MCKENZIE
Location Address2320 N LIBERTY STJacksonville, FL 32206-3016
Mailing Address909 Thoroughbred DrOrange Park, FL 32065-8201 · (904) 608-1775
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 12, 2017
Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1558807701 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
Licenses✔ Licensed in FL · MH23024✔ Licensed in GA · LPC016424✔ Licensed in NC · 23512
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 11974 (SC)
2320 N LIBERTY ST, Jacksonville, FL 32206

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tamara Mckenzie 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 ID4587000617
PECOS Enrollment IDI20240312002567
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Tamara Mckenzie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
12086 FORT CAROLINE RD STE 201
Jacksonville, FL 32225
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Maras Lighthouse Counseling Center LLC
  • 8 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida, Georgia and South Carolina enrollments
  • 3,079 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Florida enrollment
  • 238 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tamara Mckenzie's NPI number?

The NPI number for Tamara Mckenzie is 1558807701. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Tamara Mckenzie located?

Tamara Mckenzie practices at 2320 N Liberty St, Jacksonville, FL 32206. The listed phone number is (904) 608-1775.

What is Tamara Mckenzie's specialty?

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

Is Tamara Mckenzie enrolled in Medicare?

Yes. Tamara Mckenzie 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.

Which organizations bill Medicare for Tamara Mckenzie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Mckenzie reassigns Medicare benefits to 4 organizations: Mara's Lighthouse Counseling Center, LLC (Jacksonville, FL), Grow Healthcare Group PA (Miami, FL), Mental Health Specialty Group PA (Durham, NC) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Mckenzie accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Tamara Mckenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Mckenzie was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.