Individual provider · Type 1 NPI

Jenna McKenzie

Psychologist · Mendota Heights, MN

NPI number 1205764065 Active

Practice location

1155 Northland Dr
Mendota Heights, MN 55120-1288

Fax (833) 972-1118

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1174477350 (MN)
Professional Counselor 101YP2500X1164121976 (MN)
Psychologist 103T00000X1972084226 (MN)
Clinical Psychologist 103TC0700X1962955302 (MN)
Clinical Social Worker 1041C0700X1962152827 (MN)
Psychologist Primary 103T00000X1194195248 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1205764065

Jenna McKenzie's National Provider Identifier is 1205764065, issued on May 12, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Mendota Heights, MN. The record was last updated on May 12, 2026.