Cassondra Jo Kennedy, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4730 Issued in NV

Practice address

1489 W Warm Springs Rd
Henderson, NV 89014-7635

Phone

(702) 748-7663

NPI assigned

Jan 4, 2022

Sex

Female

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

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1194486977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 CADENCE VISTA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890115407",
            "telephone_number": "775-682-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147635",
            "telephone_number": "702-748-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2298 W Horizon Ridge Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522698",
            "country_code": "US",
            "telephone_number": "775-682-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CASSONDRA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makeba Kemp
• Krista Ashley Kendhammer, MSW
• Jacqueline Kendricks
• Ashly Kendzie
• Kayla Kenly
• Sierra Kennedy
• Breanna Kennelly, APRN, FNP-BC
• Kenneth a. Jones, Jr., M.D., LTD
• Kenneth Stevens MD Inc a Medical Corporation
• Kent L. Phillips, D.D.S., M.S., LTB.

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.