MEDICARE: MACKENZIE SAINZ LPC, LCPC, ATR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LCPC 2424	KS
2	101YP2500X	Professional Counselor	2015039974	MO

General Provider Information

NPI Number	:	1306211503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE SAINZ LPC, LCPC, ATR

Provider Business Mailing Address
First Line	:	751 E 63RD ST STE 212
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-3372
Country	:	US
Telephone Number	:	816-328-3864
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 E 63RD ST STE 212
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-3372
Country	:	US
Telephone Number	:	816-328-3864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2015
Last Update Date	:	11/22/2024

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