Individual provider Active NPI

Dawn L Kenner I

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1225257314
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007999 Issued in IL
Practice address
3166 N Lincoln Ave
Suit 214a
Chicago, IL 60657-3133
Phone
(312) 860-3296
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007999 IL Primary

Addresses

Primary practice location

3166 N Lincoln Ave
Suit 214a
Chicago, IL 60657-3133

Mailing address

6135 N Broadway St
Unit 200
Chicago, IL 60660-2553
Phone (312) 860-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250908002064 TN Practitioner - Mental Health Counselor 6204338320 Reassigns benefits to 1 organization
Practice locations: Nashville, TN
I20260429002807 WA Practitioner - Mental Health Counselor 6204338320 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (206) 607-9127

8161 Hwy 100
Unit 226
Nashville, TN 37221

8161 Hwy 100
Unit 226
Nashville, TN 37221-4213
Phone (312) 860-3296

8161 Hwy 100 Unit 226
Nashville, TN 37221-4213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180007999ILMDProfessional Counselor
6653TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kenner Center LLC CurrentSince Aug 1, 2012 Accepting new patients

Locations

8161 Highway 100
Nashville, TN 37221
Phone (312) 860-3296

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1225257314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 N BROADWAY ST",
            "address_2": "UNIT 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602553",
            "telephone_number": "312-860-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "SUIT 214A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "312-860-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "DAWN",
        "middle_name": "L",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.