Jenna Mckenzie, is a
Psychologist based in Mendota Heights, Minnesota. Jenna Mckenzie is licensed to practice in Minnesota (license number 1194195248) and her current practice location is
1155 Northland Dr, Mendota Heights, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 330-9225.
NPI number for Jenna Mckenzie is 1205764065 and her current mailing address is 1155 Northland Dr, Mendota Heights, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205764065.
Healthcare Provider's Profile
| Full Name | Jenna Mckenzie |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1155 Northland Dr, Mendota Heights, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205764065
- Provider Enumeration Date: 05/12/2026
- Last Update Date: 05/12/2026
Medical Identifiers
Medical identifiers for Jenna Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205764065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1174477350 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | 1164121976 (Minnesota) | Secondary |
| 103T00000X | Psychologist | 1972084226 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1962955302 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1962152827 (Minnesota) | Secondary |
| 103T00000X | Psychologist | 1194195248 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Mckenzie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jenna Mckenzie,
1155 Northland Dr,
Mendota Heights, MN 55120-1288
Ph: (763) 330-9225 | Jenna Mckenzie,
1155 Northland Dr,
Mendota Heights, MN 55120-1288
Ph: (763) 330-9225 |
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