Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mackenzie Esson , LPCC

Counselor - Professional β€’ Faribault, MN

Active NPI 1366019937 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

625 3rd Ave Nw
Faribault, MN 550214219

Call 7637803307 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 3rd Ave Nw

Faribault, MN 550214219

Telephone 7637803307
Fax 7637803306
Organization at the Same NPPES Address or Phone
Lighthouse Psychological Services, Inc. Facility NPI 1972774834

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Family Innovations Inc; Lighthouse Psychological Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mackenzie Esson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mackenzie Esson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Faribault and Minnesota

4 active clinicians are listed under Counselor - Professional with a practice address in Faribault, MN (2,407 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MN CC05162
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20251021000319

Enrollment State Jurisdiction

MN

PECOS Control ID

7012405285

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lighthouse Psychological Services Inc

625 3rd Ave Nw, Faribault, MN 550214219

Phone: 8337772781

Family Innovations Inc

3601 Minnesota Dr, Bloomington, MN 554355202

Phone: 7534215535

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Daniel Henry

Social Worker - Clinical

NPI 1861884371

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 15, 2025

Registered at 625 3RD AVE NW, FARIBAULT, MN 550214219 (Tel: 7637803307)

πŸ“
Updated Business Mailing Address September 15, 2025

Registered at 1551 PAYNE AVE, SAINT PAUL, MN 551303218 (Tel: 7637803307)

πŸ‘€
Provider Name / Credentials Updated September 15, 2025

Recorded as MACKENZIE ESSON, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2025

Counselor (license number reported to NPPES: MN CC05162)

βœ…
NPI Profile Active June 10, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2021

Registered at 1772 STIEGER LAKE LN, VICTORIA, MN 553867723 (Tel: 9524434600)

πŸ“
Business Mailing Address (Initial Record) June 10, 2021

Registered at 7974 210TH ST W, LAKEVILLE, MN 550449123 (Tel: 5074404688)

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2021

Recorded as MACKENZIE ESSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 10, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1366019937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2021
Last Update: September 15, 2025
Sole Proprietor: No

Mailing Address

1551 Payne Ave

Saint Paul, MN 551303218

Phone: 7637803307

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.