Karina Kennedy

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

201 Park Ave
West Springfield, MA 01089-3347

Phone

(413) 213-2979

NPI assigned

Sep 7, 2017

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Enrolled in MA

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 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorful Resilience LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Springfield, MA
  • NPI 1669122289
  Medicare reassignment NPD
• South Bay Mental Health Center, Inc.

  dba South Bay Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1245758424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893347",
            "telephone_number": "413-213-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kearney
• Jami Keck
• Jakyrah Maunya Kee
• Elinor Dickey Kelliher, M.D.
• Kelly Bouchard DMD PC
• Madeline Kennedy
• Cody Kennemur, PHARMD
• Kyleen Renee Kentish, RDH
• Charlotte Kerwin, M.S., BCBA, LABA
• Abdul M Khadra, M.D.

• Counselor in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.