Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jill Alane Poppe Mackenzie, JD, LSW

Individual provider Mental Health Counselor · NPI 1033622691

Jill Alane Poppe Mackenzie, JD, LSW is a Mental Health Counselor in Centerville, Ohio. Works from 5 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

955 Congress Park Dr
Centerville, OH 45459-4009
Phone: (937) 269-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7573 Northam Dr, Dayton, OH 45459-8716 — (952) 240-6060
  • 3103 W Elm St, Lima, OH 45805-2516 — (419) 221-2821
  • 1219 Jefferson Ave, Toledo, OH 43604-5836 — (419) 221-2821
  • 118 W Jackson St, West Unity, OH 43570-9643 — (419) 221-2821

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence S1451150 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence S1451150 (OH)
Social Worker Taxonomy 104100000X · Licence S1451150 (OH)

Record details

NPI number1033622691
Entity typeIndividual (Type 1)
GenderFemale
Credentials JD , LSW
Sole proprietorNo
NPI enumeratedNovember 6, 2017
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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