Individual provider Active NPI

Kenisha McLennon

  • Psychiatric/Mental Health Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1033627518
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00772600 Issued in NJ
Practice address
276 E Main St
Denville, NJ 07834-2646
Phone
(973) 664-2391
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00772600 NJ Primary

Addresses

Primary practice location

276 E Main St
Denville, NJ 07834-2646

Mailing address

186 Jacoby St Unit a
Maplewood, NJ 07040-3306
Phone (862) 205-1371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180321002112 NJ Practitioner - Nurse Practitioner 2668734179 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

276 E Main St
Denville, NJ 07834-2646
Phone (866) 389-2727

3535 Quakerbridge Rd
Suite 800
Hamilton, NJ 08619-1256
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00772600NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Apr 1, 2021 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Apr 1, 2021 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Mar 17, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Mar 7, 2018 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Aug 21, 2025 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

989 Burnt Tavern Rd
Ste 2
Brick, NJ 08724
Phone (732) 714-7127

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

276 E Main St
Denville, NJ 07834
Phone (973) 664-2391

451 Ridgedale Ave
East Hanover, NJ 07936
Phone (973) 463-3301

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

3535 Quakerbridge Rd
Ste 800
Trenton, NJ 08619
Phone (609) 584-0888

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1033627518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 JACOBY ST UNIT A",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403306",
            "telephone_number": "862-205-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 E MAIN ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342646",
            "telephone_number": "973-664-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENNON",
        "first_name": "KENISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00772600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.