Individual provider Active NPI

Sarah Kennedy, MFT

  • Marriage & Family Therapist
  • Cincinnati, OH
National Provider Identifier
1033624762
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M.1700053 Issued in OH
Practice address
555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557
Phone
(513) 752-1555
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1952 CT
Marriage & Family Therapist 106H00000X M.1700053 OH Primary

Addresses

Primary practice location

555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557

Mailing address

555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557
Phone (513) 752-1555

Other practice location 1

47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2024 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1952CTMDMarriage & Family Therapist
M.1700053OHMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033624762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CINCINNATI BATAVIA PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441557",
            "telephone_number": "513-752-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CINCINNATI BATAVIA PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441557",
            "telephone_number": "513-752-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Town St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602323",
            "country_code": "US",
            "telephone_number": "860-892-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARAH",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1952",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1700053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.