Jenna McKenzie
NPI 1205764065ActiveIndividual· Psychologist· Mendota Heights, MN
Psychologist in Mendota Heights, Minnesota, licensed in MN, with an NPI issued in May 2026.
Overview
| NPI | 1205764065 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 12, 2026 |
| Last updated in NPPES | May 12, 2026 |
| Certified by provider | May 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1194195248 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1174477350 | MN |
| Counselor, Professional | 101YP2500X | 1164121976 | MN |
| Psychologist | 103T00000X | 1972084226 | MN |
| Psychologist, Clinical | 103TC0700X | 1962955302 | MN |
| Social Worker, Clinical | 1041C0700X | 1962152827 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Mendota Heights
- 1770355026
- 1972084226
- 1194195248
- 1750700027
- 1053397646