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MR. MACKENZY JAMES WHETZEL PSS
NPI 1588508196
Peer Specialist in Roseburg, OR

Active since April 15, 2026
500 SE CASS AVE STE 110, ROSEBURG, OR 97470(541) 677-5520 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mackenzy James Whetzel Pss NPPES

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

MR. MACKENZY JAMES WHETZEL PSS (NPI 1588508196) is an individual peer specialist in Roseburg, Oregon, licensed in Oregon (116347) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1588508196
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. MACKENZY JAMES WHETZELCredential: PSS
Location Address500 SE CASS AVE STE 110Roseburg, OR 97470-3165
Mailing Address2589 Nw Edenbower BlvdRoseburg, OR 97471-6224 · (541) 529-9190 · Fax (541) 529-9190
Phone(541) 677-5520
Sole ProprietorNo
Enumeration DateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1588508196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 116347
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.
500 SE CASS AVE STE 110, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA LOUISA RAMOS PSS
Peer Specialist
500 SE CASS AVE STE 110
ROSEBURG, OR 97470
Douglas County (541) 677-5520
COLE DOUGLAS CARTER CRM
Peer Specialist
500 SE CASS AVE STE 110
ROSEBURG, OR 97470
Douglas County (541) 677-5520

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 Mackenzy Whetzel's NPI number?

The NPI number for Mackenzy Whetzel is 1588508196. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Mackenzy Whetzel located?

Mackenzy Whetzel practices at 500 SE Cass Ave Ste 110, Roseburg, OR 97470. The listed phone number is (541) 677-5520.

What is Mackenzy Whetzel'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 Mackenzy Whetzel was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.