Active NPI
Nancy R Kennedy, LPC
- Professional Counselor
- Vernon, AL
National Provider Identifier
1316276751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2391
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2391 | AL | MD | Chiropractor |
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
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jasper, AL
- NPI 1295829489
-
- Psychiatry Physician
- Jasper, AL
- NPI 1871687756
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
- Angela Lea Carroll Glasgow, CRNP
- Hospital Discount Apothecary, Inc
- Innerfit of Tuscaloosa, Inc. (Innerfit of Vernon)
- Jonathan Beasley Pharmacy Inc (Beasley's Pharmacy)
- Jamie Perkins Kendrick, FNP-C
- Kelly Kinard, BSN, RN, CBS
- Andrew Franklin Kizzire, MA, LPC, NCC
- Cindy Cates Lake, CRNP
- Lamar Ambulance Service, Inc
- Lamar County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.