John Kennebrew, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008139 Issued in GA

Practice address

249 Temple Ave Ste 263
Newnan, GA 30263-1369

Phone

(770) 282-4492

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 GA

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

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

• Success Brand LLC

  • Mental Health Counselor
  • Franklin, GA
  • NPI 1255077061

  Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1295121606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 TEMPLE AVE STE 263",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631369",
            "telephone_number": "770-282-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 TEMPLE AVE STE 263",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631369",
            "telephone_number": "770-282-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEBREW",
        "first_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kearney, LAPC
• Brenda Keever, MOT R/L
• Lacey Keller, CCC-SLP
• Leah Marie Kellogg
• Haley Kemp, BCBA
• Sarah Michelle Kennedy, PHARMD
• Alona Shanice Kenneybrew
• Kent Alan Voyce OD PC
• Erin G Kent, DPT
• Ann Marie Kerlin, PH.D., L.P.C.

• Professional Counselor in Newnan, GA
• Providers in Newnan, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.