PERRIS CHENELLE EDWARDS MCKENZIE
NPI 1962057729
Marriage & Family Therapist in Costa Mesa, CA

Active since August 07, 2019
3068 JOHNSON AVE, COSTA MESA, CA 92626(714) 545-0644 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Oct 23, 2020, Oct 2, 2019 and 1 more (4 updates tracked since 2019).

About Perris Chenelle Edwards Mckenzie NPPES

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

PERRIS CHENELLE EDWARDS MCKENZIE (NPI 1962057729) is an individual marriage & family therapist in Costa Mesa, California, licensed in California (121303) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1962057729
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePERRIS CHENELLE EDWARDS MCKENZIE
Location Address3068 JOHNSON AVECosta Mesa, CA 92626-2819
Mailing Address400 N Tustin Ave Ste 120Santa Ana, CA 92705-3879 · (714) 617-4886
Sole ProprietorYes
Enumeration DateAugust 7, 2019
Last NPPES UpdateApril 16, 20244 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1962057729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 121303
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3068 JOHNSON AVE, Costa Mesa, CA 92626

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.

Rehabilitation Practitioner
3068 JOHNSON AVE
COSTA MESA, CA 92626
Counselor (Mental Health)
3068 JOHNSON AVE
COSTA MESA, CA 92626
Counselor
3068 JOHNSON AVE
COSTA MESA, CA 92626
Clinic/Center (Adolescent and Children Mental Health)
3068 JOHNSON AVE
COSTA MESA, CA 92626
Rehabilitation Practitioner
3068 JOHNSON AVE
COSTA MESA, CA 92626
Rehabilitation Practitioner
3068 JOHNSON AVE
COSTA MESA, CA 92626

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 Perris Edwards Mckenzie's NPI number?

The NPI number for Perris Edwards Mckenzie is 1962057729. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Perris Edwards Mckenzie located?

Perris Edwards Mckenzie practices at 3068 Johnson Ave, Costa Mesa, CA 92626. The listed phone number is (714) 545-0644.

What is Perris Edwards Mckenzie's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Perris Edwards Mckenzie was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.