Kenneith Durden, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005202 Issued in GA

Practice address

7306 Ga Highway 21
Ste 101-225
Port Wentworth, GA 31407-9274

Phone

(404) 909-2442

NPI assigned

Mar 20, 2008

Last updated

Jul 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Kenneith Durden Outreach

  • Professional Counselor
  • Port Wentworth, GA
  • NPI 1699120410
  Authorized official Same address or phone

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1184895930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 GA HIGHWAY 21",
            "address_2": "STE 101-225",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314079274",
            "telephone_number": "404-909-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 GA HIGHWAY 21",
            "address_2": "STE 101-225",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314079274",
            "telephone_number": "404-909-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "KENNEITH",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Clementz, PT
• Latoya Sophia Cooper
• Dr Kenneith Durden Outreach
• Addie Elaine Duncan, DPT
• Aundra J Duncan, SLPD, CCC-SLP
• Effingham Hospital, Inc. (Effingham Occupational Medicine)
• Effingham Hospital, Inc. (Effingham Family Medicine at Port Wentworth)
• Elevate Applied Behavior Analysis Consulting LLC (Elevate ABA Consulting LLC)
• Exceptional Medical Services LLC
• Family and Children Support, Inc

• Professional Counselor in Port Wentworth, GA
• Providers in Port Wentworth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.