JILL ALANE POPPE MACKENZIE JD LSW NPI 1033622691

NPI Information

NPI: 1033622691
Provider Name: JILL ALANE POPPE MACKENZIE, JD, LSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
955 CONGRESS PARK DR
CENTERVILLE, OH
ZIP 45459
Phone: (937) 269-3047
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Jill Alane Poppe Mackenzie, JD, LSW is a mental health counselor in Centerville, OH. Jill Alane Poppe Mackenzie, JD, LSW NPI is 1033622691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

955 CONGRESS PARK DR
CENTERVILLE, OH
ZIP 45459-009
Phone: (937) 269-3047

The enumeration date for this NPI number is 11/6/2017 and was last updated on 12/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		S1451150	OHIO	No
2	101YM0800X	Counselor	Mental Health	S1451150	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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