Individual provider Active NPI

Nancy R Kennedy, LPC

  • Professional Counselor
  • Vernon, AL
National Provider Identifier
1316276751
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2391 Issued in AL
Practice address
141 2ND Avenue, NW
Vernon, AL 35592
Phone
(205) 695-9183
Fax
(205) 695-0078
NPI assigned
Dec 14, 2009
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2391 AL Primary

Addresses

Primary practice location

141 2ND Avenue, NW
Vernon, AL 35592

Mailing address

141 2ND Avenue, NW
Vernon, AL 35592
Phone (205) 695-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240410001322 AL Practitioner - Mental Health Counselor 2567800550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 7TH Ave
Jasper, AL 35501-4377
Phone (205) 302-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2391ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Alabama Mental Health Center CurrentSince Mar 14, 2024 Accepting new patients
Northwest Alabama Mental Health Center CurrentSince Mar 14, 2024 Accepting new patients

Locations

1100 7th Ave
Jasper, AL 35501
Phone (205) 302-9000

141 2nd Ave NW
Vernon, AL 35592
Phone (205) 695-0450

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1316276751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 2ND AVENUE, NW",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "35592",
            "telephone_number": "205-695-9183",
            "fax_number": "205-695-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 2ND AVENUE, NW",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "35592",
            "telephone_number": "205-695-9183",
            "fax_number": "205-695-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NANCY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, AL

Sources for this page

Verify at the official NPI Registry.