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

Mackenzie Michael Crandall, LLPC, MA, TLLP

Individual provider Counselor · NPI 1003514019

Mackenzie Michael Crandall, LLPC, MA, TLLP is a Mental Health Counselor in Clarkston, Michigan. Qualified in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

5980 S Main St Ste 101
Clarkston, MI 48346-2377
Phone: (248) 625-2970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6451022802 (MI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6362009701 (MI)

Record details

NPI number1003514019
Entity typeIndividual (Type 1)
GenderMale
Credentials LLPC , MA , TLLP
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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