Nancy R Kennedy, LPC
Individual provider Active NPI Professional Counselor · Vernon, AL
NPI 1316276751 · NPPES record last updated Dec 14, 2009
Key facts
- NPI
- 1316276751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2391 (AL)
- Practice address
- 141 2ND Avenue, NW
Vernon, AL 35592 - Phone
- (205) 695-9183
- Fax
- (205) 695-0078
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Alabama Mental Health Center
Practice addresses (Care Compare)
1100 7TH Ave
Jasper, AL 35501-4377
Phone (205) 302-9000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410001322 | AL | Practitioner - Mental Health Counselor | 2567800550 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2391 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Alabama Mental Health Center | Current |
Accepting new patients | |
| Northwest Alabama Mental Health Center | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2391 | AL | Yes |
Addresses
Primary practice location
141 2ND Avenue, NW
Vernon, AL 35592
Mailing address
141 2ND Avenue, NW
Vernon, AL 35592
Phone (205) 695-9183
Other providers in Vernon, AL
- Angela Lea Carroll Glasgow
- Hospital Discount Apothecary, Inc
- Innerfit of Tuscaloosa, Inc.
- Jonathan Beasley Pharmacy Inc
- Jamie Perkins Kendrick
- Kelly Kinard
- Andrew Franklin Kizzire
- Cindy Cates Lake
- Lamar Ambulance Service, Inc
- Lamar County
All providers in Vernon, AL · Professional Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.