Active NPI
Dawn L Kenner I
- Professional Counselor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007999
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180007999 | IL | MD | Professional Counselor |
| 6653 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kenner Center LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.