Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417596925 Individual Practitioner Female Practitioner

Mackenzie M Bolden , MS

Counselor • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Mackenzie Bolden, MS is a registered healthcare professional specializing in Counselor in Vancouver, WA. Practice services are available at 10000 NE 7TH AVE STE 403 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10000 Ne 7th Ave Ste 403

Vancouver, WA 986854548

Telephone 3609523070
Associated Practice Facility / Clinic
🏢 Star Meadow Counseling, Pllc Facility NPI 1780061937

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
679 Specialists

Practicing in Vancouver, WA (11556 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA 61515373

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

6509 Se Carlton St

Portland, OR 972066627

Phone: 5099478327

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kayla Johnson

Counselor - Mental Health

NPI 1144774548
Giovanna Cafaro

Counselor - Mental Health

NPI 1154264935
NPI 1225484306

Master of Science

Sherese Cordova

Counselor - Mental Health

NPI 1376291609
Stephanie Doig

Counselor - Mental Health

NPI 1437994233
Lindsay Corliss , MA

Counselor - Mental Health

NPI 1558170027

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 07, 2024

Registered at 10000 NE 7TH AVE STE 403, VANCOUVER, WA 986854548 (Tel: 3609523070)

👤
Provider Name / Credentials Updated December 07, 2024

Recorded as MACKENZIE BOLDEN, M.S.

📍
Updated Practice Location July 31, 2024

Registered at 6509 SE CARLTON ST, PORTLAND, OR 972066627 (Tel: 5099478327)

📍
Updated Business Mailing Address July 31, 2024

Registered at 6509 SE CARLTON ST, PORTLAND, OR 972066627 (Tel: 5099478327)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2024

Counselor (License #61515373 in WA)

NPI Profile Active December 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2019

Registered at 210 W SPRAGUE AVE, SPOKANE, WA 992013627 (Tel: 5097478224)

📍
Updated Business Mailing Address December 31, 2019

Registered at 210 W SPRAGUE AVE, SPOKANE, WA 992013627 (Tel: 5097478224)

👤
Provider Name / Credentials Updated December 31, 2019

Recorded as MACKENZIE DAVIDSON, B.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2019

Counselor

🟢
Initial NPI Registration & Enumeration December 31, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417596925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2019
Last Update: January 07, 2025
Sole Proprietor: No

Mailing Address

6509 Se Carlton St

Portland, OR 972066627

Phone: 5099478327

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.