MACKIE ENTERPRISES LLC
NPI 1700396793
Counselor - Mental Health in Portland, OR

Active since October 04, 2017
1134 NE 70TH AVE, PORTLAND, OR 97213(971) 207-5010 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Mackie Enterprises Llc NPPES

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

MACKIE ENTERPRISES LLC (NPI 1700396793) is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since October 2017. The organization lists Keith John Mackie, Owner, as its authorized official.

NPPES Registry Identity

NPI1700396793
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMACKIE ENTERPRISES LLC
Location Address1134 NE 70TH AVEPortland, OR 97213-5420
Mailing Address1134 Ne 70th AvePortland, OR 97213-5420 · (971) 207-5010
Organization SubpartNo
Authorized OfficialKeith John MackieOwner · (971) 207-5010
Enumeration DateOctober 4, 2017
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1700396793 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 OR · C2538
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 07-09-29 (OR)
1134 NE 70TH AVE, Portland, OR 97213

Other Identifiers 1

Medicaid164936OR

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1134 NE 70TH AVE
PORTLAND, OR 97213

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 Mackie Enterprises LLC's NPI number?

The NPI number for Mackie Enterprises LLC is 1700396793. It was assigned to this organization in the NPPES registry on October 4, 2017.

Where is Mackie Enterprises LLC located?

Mackie Enterprises LLC is located at 1134 NE 70th Ave, Portland, OR 97213. The listed phone number is (971) 207-5010.

What is Mackie Enterprises LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mackie Enterprises LLC was last updated on February 8, 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.