Wendy M Kennedy, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100.0134012 Issued in VT

Practice address

3 Vernon St
Greenfield, MA 01301-1711

Phone

(707) 272-4102

Fax

(707) 467-1362

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Wendy M Tkachuk Other name

Medicare fee-for-service enrollment

Enrolled in MA, CA2 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

Specialty

Marriage and Family Therapist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Redwood Community Services IncGroup PAC ID 7618263187, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redwood Community Services, Inc

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1831237015

  Mental Health

  Medicare reassignment Care Compare group NPD
• Redwood Community Services, Inc

  • Substance Abuse Rehabilitation Facility
  • Upper Lake, CA
  • NPI 1265897029
  NPD
• Redwood Community Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeport, CA
  • NPI 1891859047

  Mental Health

  NPD

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1225293178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VERNON ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011711",
            "telephone_number": "707-272-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VERNON ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011711",
            "telephone_number": "707-272-4102",
            "fax_number": "707-467-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 S Orchard Ave",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825011",
            "country_code": "US",
            "telephone_number": "707-272-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 S School St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825479",
            "country_code": "US",
            "telephone_number": "707-272-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1858",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45904",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100.0134012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "TKACHUK",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory M Kelley, MSW
• David Baker Kells, LICSW
• Sarah Elizabeth Kells, CNP
• Ronald A Kelter, PA
• Dawn P Kennedy, MSW
• Susan Dawn Kenney
• Catherine A. Kentfield
• Caroline Kern
• Rebecca Elizabeth Kern, MA
• Christina M Kerr, LCSW

• Marriage & Family Therapist in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.