Individual provider Active NPI

Tamara Lyn Kenning, LIMHP, LPC, LADC

  • Mental Health Counselor
  • Seward, NE
National Provider Identifier
1053682658
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1171 Issued in NE
Practice address
122 S 4TH St
Seward, NE 68434-2108
Phone
(402) 643-4954
NPI assigned
Jan 13, 2012
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1054 NE
Mental Health Counselor 101YM0800X 1171 NE Primary
Professional Counselor 101YP2500X 2063 NE

Addresses

Primary practice location

122 S 4TH St
Seward, NE 68434-2108

Mailing address

122 S 4TH St
Seward, NE 68434-2108
Phone (402) 643-4954

Other identifiers 1

IdentifierTypeStateIssuer
600980624MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2063NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Behavioral Health & Addiction Counseling PC Mental Health PastSince Dec 31, 2023 Accepting new patients
Svoboda Chiropractic, P.C. PastSince Jul 26, 2016 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1053682658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S 4TH ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342108",
            "telephone_number": "402-643-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S 4TH ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342108",
            "telephone_number": "402-643-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNING",
        "first_name": "TAMARA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1054",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1171",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600980624",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.