Kathleen Kenyon, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1031047 Issued in MA

Practice address

130 Maple St Ste 205
Springfield, MA 01103-2214

Phone

(413) 739-0882

NPI assigned

Jun 7, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Center for Psychological and Family Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1588769343
  NPD (past)
• Family Care Counseling Associates, Ins.

  • Psychiatry Physician
  • Wilbraham, MA
  • NPI 1760569230
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336342344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SHEA AVE",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079329",
            "telephone_number": "413-283-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST STE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032214",
            "telephone_number": "413-739-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1031047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307819",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica E Kenney Askew, BS
• Diana Mary Kenney, DPT
• Kens Eyewear Inc.
• Adam Kentish
• Mark Abbott Kenton, DO
• Christine Ann Keough-Huff, MED
• Kevin Patrick Keough, PHARMD
• Christopher R Keroack, MD
• Erin Elizabeth Kerr
• Kathleen A Kerrigan, M.D.

• Mental Health Counselor in Springfield, MA
• Providers in Springfield, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.