Bradley S Kennington, LMFT, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

200752 Issued in TX

Practice address

4613 Bee Caves Rd
Suite 204
West Lake Hills, TX 78746-5203

Phone

(512) 732-2400

Fax

(512) 732-2404

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1184766743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD",
            "address_2": "SUITE 204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465203",
            "telephone_number": "512-732-2400",
            "fax_number": "512-732-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD",
            "address_2": "SUITE 204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465203",
            "telephone_number": "512-732-2400",
            "fax_number": "512-732-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNINGTON",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "credential": "LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18763",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Kerwin Carlin, LPC ASSOCIATE
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• Marriage & Family Therapist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.