Active NPI
Zachary Adam Kennedy, MA
- Professional Counselor
- Greensburg, PA
National Provider Identifier
1104331271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009197
- Practice address
- 101 Pembroke CT
Greensburg, PA 15601-6404 - Phone
- (724) 396-1510
- Fax
- (724) 972-4495
- NPI assigned
- Dec 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009197 | PA | Primary |
Addresses
Primary practice location
101 Pembroke CT
Greensburg, PA 15601-6404
Mailing address
101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009197 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1104331271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PEMBROKE CT",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016404",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PEMBROKE CT",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016404",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ZACHARY",
"middle_name": "ADAM",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.