Anna Kennedy, MS, LMHC, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH17671 Issued in FL

Practice address

811 Edmond Ave
Kingsland, GA 31548-6342

Phone

(850) 363-4269

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Anna Catherine Payne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1093279606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 EDMOND AVE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486342",
            "telephone_number": "850-363-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 EDMOND AVE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486342",
            "telephone_number": "850-363-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANNA",
        "credential": "MS, LMHC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH18612",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013290",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA CATHERINE",
            "last_name": "PAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marvin Paul Jones, MD
• William Edward Jones Jr., PTA
• Courtney Joseph
• Rosemarie Panides Kaiser, LCSW
• Allan I Kart, RPH
• Justine Kenny, MS, OTR/L
• William Mansfield Keyser, LCSW
• Kristi Kindell
• Darrell Maurice Lampkin, PHARM.D.
• Rachel Valerie Lane, OT

• Mental Health Counselor in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.