Theresa Kennedy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

395 Issued in RI

Practice address

300 Centerville Rd
Suite 301-S
Warwick, RI 02886-0200

Phone

(401) 732-5656

NPI assigned

May 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1386671535
  Medicare reassignment NPD
• Thrive Behavioral Health

  • Community/Behavioral Health Agency
  • West Warwick, RI
  • NPI 1790818128
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134335243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE RD",
            "address_2": "SUITE 301-S",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860200",
            "telephone_number": "401-732-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE RD",
            "address_2": "SUITE 301-S",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860200",
            "telephone_number": "401-732-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TK65464",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Kelly, D.O.
• Patrick Y Kelly
• Cathy Lynn Kennedy, PCNS
• Kyla Kennedy, PSYD
• Susan Lynette Kennedy, LCSW
• Ellen Kenner, PH.D.
• Kenneth H. Salzsieder,MD LTD
• Kenneth J. Rudman, D.M.D.
• Mary Kenney, R.N.
• Nicholas L Kensey, DO

• Mental Health Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.