Mary Helen Kennerly, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

107684 Issued in IA

Practice address

3030 Northgate Dr Ste E
Iowa City, IA 52245-9501

Phone

(413) 237-5208

NPI assigned

Dec 20, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 10, 2025 through Jun 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Center for Individual & Family Development LLP

  • Marriage & Family Therapist
  • Iowa City, IA
  • NPI 1174700835
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1285403105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTHGATE DR STE E",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459501",
            "telephone_number": "413-237-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTHGATE DR STE E",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459501",
            "telephone_number": "413-237-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNERLY",
        "first_name": "MARY HELEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "107684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Kendrick, DDS
• Jeffrey Daniel Kendrick, M.D.
• Kimberly A Kenne, M.D.
• Michaela Christine Kennedy-Blondino, DNP
• Kathryn Kennedy
• Eric Kenney
• Kelly Kent
• Lindsay L Kenyon, LISW
• Christopher Michael Kepros, DDS
• Abby Mae Kerker, MS, RDN, LD

• All providers in Iowa City, IA
• Marriage & Family Therapist in Iowa

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

Verify at the official NPI Registry.