MACKENZIE JARDELL
NPI 1871248955
Counselor - Mental Health in Gainesville, VA
About Mackenzie Jardell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE JARDELL (NPI 1871248955) is an individual mental health provider in Gainesville, Virginia, licensed in Virginia (0704014593) and active in the NPI registry since February 2022. She has opted out of Medicare through February 27, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mackenzie Jardell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2025 through February 27, 2027.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, VA 20155
GAINESVILLE, VA 20155
GAINESVILLE, VA 20155
GAINESVILLE, VA 20155
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 Jardell's NPI number?
The NPI number for Mackenzie Jardell is 1871248955. It was assigned to this individual provider in the NPPES registry on February 16, 2022.
Where is Mackenzie Jardell located?
Mackenzie Jardell practices at 7150 Heritage Village Plz Ste 201, Gainesville, VA 20155. The listed phone number is (571) 318-9141.
What is Mackenzie Jardell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mackenzie Jardell enrolled in Medicare?
No. Mackenzie Jardell has opted out of Medicare through February 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mackenzie Jardell was last updated on February 16, 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.
# Mackenzie Jardell · NPI 1871248955
Mental Health provider in Gainesville, Virginia. Individual provider, active in the CMS NPPES registry since February 16, 2022.
## Identity
- **NPI:** 1871248955 (Entity type: Individual)
- **Enumerated:** February 16, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0704014593 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7150 HERITAGE VILLAGE PLZ STE 201, Gainesville, VA 20155-3064
- **Phone:** (571) 318-9141
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 27, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871248955) · Data from the CMS NPPES public registry.