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

Mackenzie Collen Restucci

Individual provider Mental Health Counselor · NPI 1376261263

Mackenzie Collen Restucci is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Oregon.

Licensed in
FL, OR
In the registry since
2022
Specialties on file
2

Practice location Address checks out

5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone: (407) 494-4880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1320 Louisiana Ave, Saint Cloud, FL 34769-4116 — (407) 593-0122

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R12486 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence IMH23339 (FL)

Record details

NPI number1376261263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2022
Last updated in NPPESJanuary 10, 2026
Certification dateJanuary 10, 2026

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