Jeannine Kenevan, COMS, LPC

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

Practice address

820 W College Ave
Suite 3
Appleton, WI 54914-5286

Phone

(920) 831-2090

Fax

(920) 831-2091

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1093064008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W COLLEGE AVE",
            "address_2": "SUITE 3",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145286",
            "telephone_number": "920-831-2090",
            "fax_number": "920-831-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W COLLEGE AVE",
            "address_2": "SUITE 3",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145286",
            "telephone_number": "920-831-2090",
            "fax_number": "920-831-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEVAN",
        "first_name": "JEANNINE",
        "credential": "COMS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Ann Kemp, COTA
• Dawn R Kempen, APNP
• Laura M Kemps, DC
• Jake E Kendall, APNP
• Megan Elizabeth Kendall, FNP-BC
• Michelle Kennedy Coenen, MS
• Kenneth L. Schaufelberger, M.D., S.C.
• Morgan Bre Kerscher, PA
• Rocky M Kerswill, LPC
• Diane Marie Kesler, RN,CDE

• All providers in Appleton, WI
• Blind Rehabilitation Specialist/Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.